1 | Pain/discomfort in everyday activities | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
2 | Pain/discomfort during training or playing | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
3 | Performing vigorous, rapid or explosive arm movements | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
4 | Reaching your affected arm across to the opposite shoulder | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
5 | Lifting your hand on your affected side up to your affected shoulder | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
6 | Placing your hand behind your head with your elbow straight out to the side | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
7 | Pushing or pulling forcefully | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
8 | Carrying or lifting heavy objects off the ground | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
9 | Performing bench presses | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
10 | Reaching upwards | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
11 | Using your affected arm overhead for prolonged periods (>2 min) | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
12 | Putting force through your shoulder at extremes of range of movement | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
13 | Overhead ball handling | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
14 | Performing hand-offs | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
15 | Passing | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
16 | Carrying a ball with strength in the crook of your arm | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
17 | Tackling | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
18 | Pushing up from the ground | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| How much does: | | | | | | | |
19 | Shoulder pain/discomfort affect your overall shoulder function? | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
20 | Your shoulder injury affect your overall ability to train or play competitively? | 1 | 2 | 3 | 4 | 5 | 6 | 7 |