Please fill out this survey so we can better understand what is going on
How severe is the hand or wrist pain that you have at night?
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Normal
Slight
Medium
Severe
Very Serious
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How often did hand or wrist pain wake you up during a typical night in the past 2 weeks?
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Normal
Once
2-3 Times
4-5 Times
More Than 5 Times
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Do you typically have pain in your hand or wrist during the day?
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No Pain
Slight
Medium
Severe
Very Serious
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How often do you have hand or wrist pain during the day?
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Normal
1-2 Times/Day
3-5 Times/Day
More Than 5 Times
Continuous
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How long on average does an episode of pain last during the daytime?
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Normal
Less Than 10 Minutes
10-60 Minutes
More Than 60 Minutes
Continuous
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Do you have numbness (loss of sensation) in your hand?
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Normal
Slight
Medium
Severe
Very Serious
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Do you have weakness in your hand or wrist?
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Normal
Slight
Medium
Severe
Very Serious
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Do you have tingling sensations in your hand?
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Normal
Slight
Medium
Severe
Very Serious
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How severe is numbness or tingling at night?
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Normal
Slight
Medium
Severe
Very Serious
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How often did hand numbness or tingling wake you up during a typical night during the past two weeks?
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Normal
Once
2-3 Times
4-5 Times
More Than 5 Times
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Do you have difficulty with grasping and use of small objects such as keys or pens?
Click one answer for each question
Without Difficulty
Little Difficulty
Moderate Difficulty
Very Difficult
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