Reach VR Screening Questionnaire

This questionnaire helps identify whether your shoulder symptoms are consistent with frozen shoulder. It does not replace an examination by a healthcare professional. Please answer each question based on how your shoulder has felt over the past several weeks. Choose the answer that best fits you.

1. My shoulder pain and stiffness started gradually, not from a specific injury or accident.

2. My symptoms have lasted more than 1 month and have slowly worsened or not improved.

3. My shoulder pain is worse at night or wakes me from sleep.

4. My shoulder feels stiff or stuck, not just painful.

5. I have trouble moving my shoulder in many directions, even when I try gently.

6. Turning my arm outward (keeping elbow at side and rotating forearm away) is especially difficult.

7. Because of my shoulder, I have difficulty with daily activities such as reaching overhead, reaching behind my back, or putting on a coat or bra.

8. My shoulder problem significantly affects my sleep, work, or self-care.

9. I am between 40 and 65 years old.

10. I have or have had diabetes, thyroid disease, heart disease, or a period of shoulder immobilization.

11. I have had frozen shoulder in my other shoulder before.

12. My shoulder pain started right after an injury or fall.

13. Someone else can move my shoulder fully, but it hurts when I move it myself.

14. I have unexplained fever, severe constant pain not related to movement, or new numbness/tingling in my arm.

This screening tool is based on APTA Clinical Practice Guidelines. A healthcare professional will confirm diagnosis through examination. If you answered Yes to Question 14, inform your provider immediately.

Shoulder health— for life!

Studies show that daily shoulder and arm movement is a key component of staying healthy. Reach VR will challenge you to advance and keep you moving toward your goals. Ready to get started?

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