Hip Outcome Score
Please answer every question with one response that most closely describes your condition within the past week.
If the activity in question is limited by something other than your hip, mark not applicable.
Activities of daily living
Type a question
Not difficult at all
Slight difficulty
Moderate difficulty
Extreme difficulty
Unable to do
Not applicable
Standing for 15 minutes
1
2
3
4
5
6
Getting into and out of an average car
7
8
9
10
11
12
Walking up steep hills
13
14
15
16
17
18
Walking down steep hills.
19
20
21
22
23
24
Going up 1 flight of stairs.
25
26
27
28
29
30
Going down 1 flight of stairs.
31
32
33
34
35
36
Stepping up and down curbs.
37
38
39
40
41
42
Deep squatting.
43
44
45
46
47
48
Getting into and out of a bath tub.
49
50
51
52
53
54
Walking initially.
55
56
57
58
59
60
Walking for approx. 10 minutes.
61
62
63
64
65
66
Walking 15 minutes or greater.
67
68
69
70
71
72
Twisting/pivoting on involved leg.
73
74
75
76
77
78
Rolling over in bed.
79
80
81
82
83
84
Light to moderate work (standing, walking).
85
86
87
88
89
90
Heavy work (push/pulling, climbing, carrying).
91
92
93
94
95
96
Recreational activities.
97
98
99
100
101
102
Sports subscale
Because of you hip, how much difficulty you have with:
*
Not difficult at all
Slight difficulty
Moderate difficulty
Extreme difficulty
Unable to do
Not applicable
Running one mile.
103
104
105
106
107
108
Jumping.
109
110
111
112
113
114
Swinging objects like a golf club.
115
116
117
118
119
120
Landing.
121
122
123
124
125
126
Starting and stopping quickly.
127
128
129
130
131
132
Cutting/lateral movements.
133
134
135
136
137
138
Low impact activities like fast walking.
139
140
141
142
143
144
Ability to perform activity with your normal technique.
145
146
147
148
149
150
Ability to participate in your desired sport as long as you would like.
151
152
153
154
155
156
Submit
Should be Empty: