Carpal Tunnel Quiz

Do you have carpal tunnel syndrome? Take the following brief quiz to better understand your likelihood of having carpal tunnel syndrome. Email address is not required, but please provide your email address at the end of the quiz if you would like this information to be saved and available at your visit with Elite Carpal Tunnel. You must respond to each visible question to receive a score.

Note: This quiz does not diagnose carpal tunnel syndrome, cubital tunnel syndrome, or any other hand problem and is not a substitute for an evaluation by a qualified health care professional.

First Name(Required)

First

Location

Select your age(Required)

Do you have any of the following symptoms in your hand(s)? Choose all that apply.

Left Hand(Required)

Numbness

Tingling

Burning

Pain

Other

None

Right Hand(Required)

Numbness

Tingling

Burning

Pain

Other

None

Please describe the other symptoms in your left hand:

Please describe the other symptoms in your right hand:

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Left Hand Min/Max

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Right Hand Min/Max

Look at the diagrams below and choose all the areas on the diagram where you feel numbness, tingling, burning, or pain in your hand(s): Choose all that apply.

Left Hand(Required)

A. Thumb

B. Index

C. Middle

D. Ring

E. Pinky

F. Palm (thumb side)

G. Palm (pinky side)

H. Back of hand (dorsum)

Right Hand(Required)

A. Thumb

B. Index

C. Middle

D. Ring

E. Pinky

F. Palm (thumb side)

G. Palm (pinky side)

H. Back of hand (dorsum)

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Left Hand Min/Max (2)

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Right Hand Min/Max (2)

Look at the diagrams below and choose all the areas on the diagram where you feel symptoms other than numbness, tingling, burning, or pain in your hand(s): Choose all that apply.

Left Hand(Required)

A. Thumb

B. Index

C. Middle

D. Ring

E. Pinky

F. Palm (thumb side)

G. Palm (pinky side)

H. Back of hand (dorsum)

Right Hand(Required)

A. Thumb

B. Index

C. Middle

D. Ring

E. Pinky

F. Palm (thumb side)

G. Palm (pinky side)

H. Back of hand (dorsum)

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Left Hand Min/Max (3)

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Right Hand Min/Max (3)

Are the symptoms in your hand(s) worsened by any of the following?: Choose all that apply.

Left Hand(Required)

Sleeping

Driving

Holding a phone

Typing

Heavy physical use of hands (such as yard work)

Other

None

Right Hand(Required)

Sleeping

Driving

Holding a phone

Typing

Heavy physical use of hands (such as yard work)

Other

None

Please describe the other symptoms in your left hand:

Please describe the other symptoms in your right hand:

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Left Hand Min/Max (4)

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Right Hand Min/Max (4)

Have you ever been diagnosed with carpal tunnel syndrome in the right/left hand?

Left Hand(Required)

Yes

Right Hand(Required)

Yes

Have you ever had an abnormal Nerve Conduction Study/EMG or “nerve test” of your arm(s)?

Left Arm(Required)

Yes

Right Arm(Required)

Yes

Were the symptoms in your hand(s) brought on by a forceful injury such as a fall or accident?

Left Hand(Required)

Yes

Right Hand(Required)

Yes

Do you have a history of neck trouble?

Untitled(Required)

Yes

Do you have numbness in your feet or hands (diabetic neuropathy) as a result of diabetes?

Diabetic neuropathy?(Required)

Yes

Occupation

Activities which increase your symptoms:

Email(Required)

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Left Hand Total

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Right Hand Total

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Left Hand Very Likely

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Right Hand Very Likely

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Left Hand Probable

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Right Hand Probable

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Left Hand Possible

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Right Hand Possible

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Left Hand Unlikely

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Right Hand Unlikely

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Quiz Result: Very Likely

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Quiz Result: Probable

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Quiz Result: Possible

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Quiz Result: Unlikely

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Carpal Tunnel + Probable Cubital Tunnel

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Probable Cubital Tunnel rather than Carpal Tunnel

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Show Left Side

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Show Right Side

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Show Left Side "Other"

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Show Right Side "Other"

This field is for validation purposes and should be left unchanged.