Kamath and Stothard Carpal Tunnel Questionnaire (CTQ)
| 1. Has pain in the wrist woken you at night?
Score : |
2. Has tingling and numbness in your hand woken you during the night? Score : |
3. Has tingling or numbness in your hand been more pronounced first thing in the morning? Score : |
4. Do you have/perform any trick movements to make the tingling, numbness go from your hands? Score : |
5. Do you have tingling and numbness in your little finger at any time? Score : |
6. Has tingling and numbness presented when you were reading a newspaper, steering a car or knitting? Score : |
7. Do you have any neck pain? Score : |
8. Has the tingling and numbness in your hand been severe during pregnancy? Score : |
9. Has wearing a splint on your wrist helped the tingling and numbness? Score : |
Patient Chart
Carpal Tunnel Questionnaire (CTQ)
| 1. How severe is the hand or wrist pain you have at NIGHT?
Score : |
2. How often did hand or wrist pain at NIGHT wake you up during a typical night in the past week? Score : |
3. Do you typically have pain in your hand or wrist during the DAYTIME? Score : |
4. How severe is the hand or wrist pain you have at NIGHT? Score : |
5. How long, on average, does an episode of pain last during the daytime? Score : |
6. Do you have numbness (loss of sensation) in your hand? Score : |
7. Do you have weakness in your hand or wrist? Score : |
8. Do you have tingling sensations in your hand? Score : |
9. How severe is numbness (loss of sensation) or tingling at night? Score : |
10. How often did hand numbness or tingling wake you up during a typical night during the PAST WEEK? Score : |
11. Do you have difficulty with grasping and using small objects such as keys or pens? Score : |
Patient Chart
