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Total Joint Program

WOMAC Osteoarthritis Index

WOMAC Osteoarthritis Index

Please complete this survey to receive your score

This survey asks for your views about the amount of pain, stiffness, and disability you have experienced during the last 48 hours. If you are unsure about how to answer a question, please give the best answer you can. If the question does not apply to you, please substitute a similar activity/motion and provide an answer to the question. As a reminder, all questions must be complete in order to calculate a result. You will receive a personalized reply from the Total Joint Program Director.

Required Fields *



Please select your procedure type:
Hip    Knee

Please select your procedure location:
Left    Right    Bilateral    Unknown

The following questions concern the severity of pain you have experienced due to arthritis in your hips and/or knees within the past 48 hours.

1. When walking on a flat surface?
None    Mild    Moderate    Severe    Extreme

2. When going up or down stairs?
None    Mild    Moderate    Severe    Extreme

3. At night while in bed? (pain that disturbs your sleep)
None    Mild    Moderate    Severe    Extreme

4. While sitting or lying down?
None    Mild    Moderate    Severe    Extreme

5. While standing?
None    Mild    Moderate    Severe    Extreme

The following questions concern the severity of joint stiffness (not pain) you have experienced within the past 48 hours in your hips and/or knees. Stiffness is a sensation of decreased ease in moving your joints.

1. How severe has your stiffness been after first waking up in the morning?
None    Mild    Moderate    Severe    Extreme

2. How severe has your stiffness been after sitting, lying down or while resting later in the day?
None    Mild    Moderate    Severe    Extreme

Think about the difficulty you had in doing the following daily physical activities caused by your hips and/or knees during the last 48 hours. By this we mean your ability to move around and take care of yourself.
Question: How much difficulty have you had...

1. When going down the stairs?
None    Mild    Moderate    Severe    Extreme

2. When going up the stairs?
None    Mild    Moderate    Severe    Extreme

3. When getting up from a sitting position?
None    Mild    Moderate    Severe    Extreme

4. While standing?
None    Mild    Moderate    Severe    Extreme

5. When bending to the floor?
None    Mild    Moderate    Severe    Extreme

6. When walking on a flat surface?
None    Mild    Moderate    Severe    Extreme

7. When getting in/out of a car or on/off a bus?
None    Mild    Moderate    Severe    Extreme

8. While going shopping?
None    Mild    Moderate    Severe    Extreme

9. When putting on socks or panty hose or stockings?
None    Mild    Moderate    Severe    Extreme

10. When getting in or out of bed?
None    Mild    Moderate    Severe    Extreme

11. When taking off your socks or pantyhose or stockings?
None    Mild    Moderate    Severe    Extreme

12. While lying in bed?
None    Mild    Moderate    Severe    Extreme

13. When getting in or out of bath tub?
None    Mild    Moderate    Severe    Extreme

14. While sitting?
None    Mild    Moderate    Severe    Extreme

15. While getting on or off the toilet?
None    Mild    Moderate    Severe    Extreme

16. While doing heavy household chores?
None    Mild    Moderate    Severe    Extreme

17. While doing light household chores?
None    Mild    Moderate    Severe    Extreme

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Copyright© 1996 Nicholas Bellamy. Utilized with permission.