Knee injury and Osteoarthritis Outcome Score 12
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Use our readymade template to create your KOOS-12 screening tool for knee injury and osteoarthritis

Create your care assessments

KOOS-12 score Knee injury and Osteoarthritis Severity Proposed treatment
0-20 None - Minimal May not need treatment
21-40 Mild Physical therapy
41-60 Moderate Consider medication
61-80 Severe Surgery may be considered
81-100 Extreme Surgery is likely
  • navigate_next Prebuilt template with KOOS-12 scoring to assess the presence of knee injury and osteoarthritis and measure its severity
  • navigate_next 12-item questionnaire that scores each of the 12 criteria as “0” (not at all) to “4” (extreme/always/totally)
  • navigate_next Real-time calculation of KOOS-12 Score and knee injury and osteoarthritis severity based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of knee injury and osteoarthritis
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1004
Patient Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
Doctor's Name Dr. Smith
Location New York
1. How often do you experience knee pain? Daily
2. Walking on a flat surface Severe
3. Going up or down stairs Severe
4. Sitting or lying Moderate
5. Rising from sitting Mild
6. Standing Mild
7. Getting in/out of a car Moderate
8. Twisting/pivoting on your injured knee Severe
9. How often are you aware of your knee problem? Constantly
10. Have you modified your life style to avoid potentially damaging activities to your knee? Severely
11. How much are you troubled with lack of confidence in your knee? Severely
12. In general, how much difficulty do you have with your knee? Severe
KOOS-12 Pain Score 75
KOOS-12 Function Score 62
KOOS-12 QOL Score 81
KOOS-12 Score 73
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the KOOS-12 assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their KOOS-12 assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their KOOS-12 assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your KOOS-12 assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their KOOS-12 score, diagnosis, next steps when they submit their KOOS-12 assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. How often do you experience knee pain? Daily 3 73
3 John W 2. Walking on a flat surface Severe 3 73
4 John W 3. Going up or down stairs Severe 3 73
5 John W 4. Sitting or lying Moderate 2 73
6 John W 5. Rising from sitting Mild 1 73
7 John W 6. Standing Mild 1 73
8 John W 7. Getting in/out of a car Moderate 2 73
9 John W 8. Twisting/pivoting on your injured knee Severe 3 73
10 John W 9. How often are you aware of your knee problem? Constantly 4 73
11 John W 10. Have you modified your life style to avoid potentially damaging activities to your knee? Severely 3 73
12 John W 11. How much are you troubled with lack of confidence in your knee? Severely 3 73
13 John W 12. In general, how much difficulty do you have with your knee? Severe 3 73
  • navigate_next Export patient responses including the calculated KOOS-12 score and knee injury and osteoarthritis severity to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 12 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their knee injury and osteoarthritis symptoms
  • navigate_next Receive a copy of the response and the calculated KOOS-12 score by email whenever a patient submits their KOOS-12 assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1004
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
1. How often do you experience knee pain?: Daily
2. Walking on a flat surface: Severe
3. Going up or down stairs: Severe
4. Sitting or lying: Moderate
5. Rising from sitting: Mild
6. Standing: Mild
7. Getting in/out of a car: Moderate
8. Twisting/pivoting on your injured knee: Severe
9. How often are you aware of your knee problem?: Constantly
10. Have you modified your life style to avoid potentially damaging activities to your knee?: Severely
11. How much are you troubled with lack of confidence in your knee?: Severely
12. In general, how much difficulty do you have with your knee?: Severe
KOOS-12 Pain Score: 75
KOOS-12 Function Score: 62
KOOS-12 QOL Score: 81
KOOS-12 Score: 73
KOOS-12 Score: 73
  • navigate_next Create a HIPAA compliant KOOS-12 assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting KOOS-12 form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in KOOS-12 assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

February 16, 2024

1 stars

Does not work

— Myles Sicuro

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

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