Does this activity cause you any difficulty?

Select all that apply.

Walking

Stair Climbing

Sit to Stand

Squatting

Kneeling

Daily Activities
(Housework, etc.)

What do you feel inside the knee?

Select all that apply.

Grinding/ Cracking

Clicking

Locking

Instability

Swelling

Morning Stiffness

Do you have any knee deformity?

Select the image that matches you

Normal
(Straight Legs)

Bow Legs
(Varus)

Knock Knees
(Valgus)

Can you fully bend the knee?

Select the option that matches you

Yes
(I can bend fully)

No
(Bending is Limited)

Does knee pain disturb your sleep?

No
(Never)

Sometimes
(Occasionally)

Yes
(Often)

What treatments have you already tried?

Select all that apply

Pain
Medications

Physiotherapy/
Exercise

Injection
(Steroid/ PRP)

Knee
Brace

Ayurveda/ Home
Remedy

Surgery