Hip Assessment Quiz

There are numerous factors associated with the development of hip pain and mobility disorders. This free hip quiz will take less than 5 minutes to complete. At the end, you will receive personalized information that will help you:

  • Assess and identify indications of arthritis or lifestyle conditions that may lead to the development of hip pain and mobility issues.


  • Take action to reduce your level of pain and increase your mobility, with increased awareness of the services available through Adventist Health Lodi Memorial.

Knowing your score will enable you to take control of your health. The survey will collect your contact information to provide you with information to help address your hip pain or mobility issues. The results will also be sent to our orthopedic team.

  • How would you describe the pain you usually have in your hip?*

  • Have you been troubled by pain from your hip in bed at night?*

  • Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip?*

  • Have you been limping when walking because of your hip?*

  • For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)?*

  • Have you been able to climb a flight of stairs?*

  • Have you been able to put on a pair of socks, stockings or tights?*

  • After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip?*

  • Have you had any trouble getting in and out of a car or using public transportation because of your hip?*

  • Have you had any trouble with washing and drying yourself (all over) because of your hip?*

  • Could you do the household shopping on your own?*

  • How much has pain from your hip interfered with your usual work, including housework?*

Congratulations!

You've completed the Hip Quiz.

Now, enter your contact information so we can send your score.

Personal Information
  • Patient Information

    If you are a strong candidate for hip surgery, our office will contact you.

  • * Required fields. By providing your details, you agree to receive communications such as annual appointment reminders, health education materials, event information, etc. from Adventist Health. For more information, you can read our legal and privacy policies in the footer below.