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MediGence Telerehabilitation

Hello, thank you for your interest in starting your healthcare journey with
MediGence Telerehabilitation.

Total Questions : 19

1. Do you have difficulty in closing your eyes, retaining food and water, etc.?

Yes
No
Not Sure

2. Do you experience slow and slurred speech?

Yes
No
Not Sure

3. Can you feel the movement in your hand?

Yes
No
Not Sure

4. Can you feel the movement in your legs?

Yes
No
Not Sure

5. Do you experience night pain in the shoulder and weakness in arms?

Yes
No
Not Sure

6. Can you hold things with your hand?

Yes
No
Not Sure

7. Does your wrist drop downwards?

Yes
No
Not Sure

8. Can you sit without support?

Yes
No
Not Sure

9. Does your leg rotate outwards?

Yes
No
Not Sure

10. Can you move about independently?

Yes
No
Not Sure

11. Do you drag your foot while walking?

Yes
No
Not Sure

12. Can you hold your slippers yourself?

Yes
No
Not Sure

13. Can you get up from your bed on your own?

Yes
No
Not Sure

14. Can you stand without support?

Yes
No
Not Sure

15. Can you do washroom activities on your own?

Yes
No
Not Sure

16. Can you button your shirt?

Yes
No
Not Sure

17. Can you wear pants on your own?

Yes
No
Not Sure

18. Can you do cooking, gardening, and grocery shopping on your own?

Yes
No
Not Sure

19. Can you drive on own?

Yes
No
Not Sure

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