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Musculoskeletal & Pain Management

Hand profile template: Free PRWHE wrist and hand form (PDF)

Free PDF 2 pages, print-ready Clinician-reviewed


A hand profile template is a patient-completed questionnaire that rates wrist and hand pain, daily function and, optionally, appearance on 0–10 scales. Its items mirror the Patient-Rated Wrist/Hand Evaluation (PRWHE). The patient rates pain at rest and during activity, then the difficulty of ten everyday tasks, all over the past week. Hand therapists, occupational therapists and hand surgeons use the scores as a baseline before treatment. Repeating the same form at later visits shows whether pain and function are improving. The form holds no measurements or exam findings, so pair it with your own clinical assessment.

Template details
Template type
Template
Format
Printable PDF, 2 pages
Sections
4 sections
Fields to complete
18 fields
Best for
Musculoskeletal & Pain Management
Free download

Download your free hand profile template

A two-page, patient-completed questionnaire with four 0–10 pain ratings and a box for how often pain occurs. It adds ten 0–10 difficulty ratings for specific and usual activities, plus an optional appearance section.

What’s inside
  • Four 0–10 pain ratings, from pain at rest to pain at its worst
  • Free-text box for how often the patient experiences pain
  • Six 0–10 difficulty ratings for tasks such as doorknobs and buttons
  • Four 0–10 ratings for personal care, household work, work and recreation
  • Optional question on how important the hand's appearance is to the patient
  • Optional 0–10 rating of dissatisfaction with the wrist or hand's appearance
PDF · 2 pages · 237 KB No sign-up needed Updated November 2026
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Key takeaways

Key takeaways

The hand profile is a patient-rated questionnaire covering wrist and hand pain, daily function and, optionally, appearance.

Every scored item uses a 0–10 scale for the past week, where 0 means no pain or no difficulty.

Its items mirror the PRWHE, whose published scoring gives pain and function subscales of 0–50 and a 0–100 total.

The form records no range of motion, strength or exam findings, so pair it with your own clinical assessment.

With Pabau’s practice management software, patients complete the questionnaire online before each visit, and the answers go into their record.

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What is a hand profile template?

A hand profile template is a questionnaire the patient fills in to rate how their wrist or hand affects daily life. Every scored item uses a 0–10 scale and asks about the past week. The patient answers on their own, before the clinician examines the hand.

Its items mirror the Patient-Rated Wrist/Hand Evaluation (PRWHE), an outcome measure for wrist and hand conditions. That makes the form a patient-reported outcome measure. The patient tells you what hurts and what they can no longer do. Movement, strength and sensation still come from your own examination.

What the form asks the patient

The PDF runs to two pages and four sections. Three of them are scored, and the appearance section is optional.

SectionWhat the patient ratesScale
Rate your painPain at rest, during a repeated wrist or hand movement, when lifting a heavy object, and at its worstFour 0–10 ratings (no pain to worst pain possible), plus a free-text box for how often pain occurs
Specific activitiesTurning a doorknob, chopping with a knife, fastening buttons, pushing up from a chair, carrying a heavy object, using bathroom tissueSix 0–10 ratings (no difficulty to unable to do)
Usual activitiesPersonal care, household work, duties at work, and recreational activitiesFour 0–10 ratings (no difficulty to unable to do)
Appearance (optional)How important the hand’s appearance is, and how dissatisfied the patient was with it over the past weekVery much, somewhat or not at all, plus one 0–10 dissatisfaction rating

Pain and function items

The four pain ratings separate pain that is always there from pain that a movement or a load brings on. If rest pain falls but lifting pain stays high, the patient is telling you where the problem still sits. The form never asks where the pain is, so mark its location on a hand pain diagram.

The ten activity items move from precise tasks, such as fastening buttons, to whole roles, such as work and recreation. Most specific-activity items name the affected hand, so the patient rates that hand and not how they coped with the other one.

One wording quirk is worth knowing. The usual activities instructions repeat the pain wording, but the scale beneath them is labeled for difficulty. Ask the patient to rate difficulty there, as the scale shows.

The optional appearance section

The appearance questions matter most after an injury, surgery or condition that visibly changes the hand. The patient first says how important appearance is to them, then rates their dissatisfaction from 0 to 10.

Skip the section when appearance isn’t relevant to the treatment. The pain and function scores don’t depend on it.

How to score the questionnaire

The PDF prints the scales but carries no scoring box, so scoring follows the published PRWHE method. Each subscale runs from 0 to 50, and higher scores mean worse pain or worse function.

  1. Pain subscale: add the five pain items, for a score from 0 to 50.
  2. Function subscale: add the ten activity items and divide by two, for a score from 0 to 50.
  3. Total: add the two subscales, for a score from 0 (best) to 100 (worst).

The diagram below traces each rating on the form to the subscale it feeds.

Diagram of how the hand profile is scored
The function subscale scores cleanly from the form, while the pain subscale is one number short. Item counts come from the PDF, and the scoring follows the published PRWHE method.

In the published PRWHE, how often pain occurs is the fifth pain item, rated 0 to 10. This form gives it a free-text box instead. Without a number there, only four pain items can be totaled. The pain subscale then tops out at 40 and the total at 90, so neither matches the published range.

Ask the patient to add a 0–10 frequency rating, or report the function subscale on its own. The appearance items sit outside both subscales, so report them separately.

Who the form is for

Any team that treats the wrist or hand and needs the patient’s own view of progress can use the form.

  • Hand therapists and occupational therapists track pain and function across a rehabilitation program.
  • Hand and orthopedic surgeons record a baseline before surgery and compare it at follow-up.
  • Physical therapists use it alongside their own strength and movement testing.
  • Aesthetic and dermatology practitioners can use the appearance section before treating the hands.

Tracking outcomes from visit to visit

A single score says little on its own. The value comes from comparing scores, so the routine matters more than any one result.

  1. Ask the patient to complete the form before the first treatment, without staff suggesting answers.
  2. Score it, then file the scores with the date and the condition being treated.
  3. Repeat it at set points, such as each review and at discharge, using the same form each time.
  4. Compare the subscales over time, and check which items changed, not just the total.

Pair the questionnaire with objective tests at the same visits, because the form contains no measurements. A range of motion assessment records joint movement, and the grip strength norms template gives you reference values to read grip results against.

Collecting hand profile scores digitally with Pabau

On paper, the hand profile arrives at check-in, gets scored by hand and ends up in a folder. Comparing today’s visit with the baseline means finding both sheets and redoing the arithmetic.

In Pabau, you can rebuild the questionnaire as a digital intake form. Patients complete it through the patient portal before each appointment. Their answers land in their patient record, next to your treatment notes.

Customizable consent and intake forms
Pabau’s customizable intake forms let patients rate their hand pain and function before the visit, so the scores are ready when the appointment starts.

A digital form also keeps the wording and scales identical at every repeat, which is what makes one visit comparable with the next.

Hand therapy teams see those scores in an EMR that tracks progress, beside the treatment plan. For the notes around the scores, Pabau Scribe, our AI scribe, drafts them from the consultation for the clinician to review.

Collect hand profile scores before every visit

Pabau’s digital forms let patients complete the hand profile before each appointment, with every answer stored in their patient record. See how it fits your hand therapy workflow.

Pabau practice management dashboard

Conclusion

The hand profile earns its place when you use it for what it is: the patient’s own rating of pain and function. It won’t stand in for a goniometer or a dynamometer, and it isn’t meant to.

Give it at baseline, repeat it the same way at each review, and settle the frequency rating before you total the pain items. A falling score then becomes evidence you can show the patient and the referrer.

Book a demo to see how Pabau collects the questionnaire before each visit and keeps every score in the patient record.

Continue your research

Continue your research

Need a shorter outcome measure for the whole arm? QuickDASH outcome measure gives you a record sheet for filing each QuickDASH score alongside your notes.

Choosing which outcome measures to run? Outcome measures template shows how to choose, score and track progress from visit to visit.

Setting goals with an occupational therapy patient? Canadian Occupational Performance Measure gives you the COPM interview guide and rating fields for importance, performance and satisfaction.

Frequently asked questions

What is a hand profile template?

A hand profile template is a patient-completed questionnaire that rates wrist and hand pain, daily function and, optionally, appearance. Each scored item uses a 0–10 scale covering the past week. Its items mirror the Patient-Rated Wrist/Hand Evaluation (PRWHE).

Who fills in the form, the patient or the clinician?

The patient does, ideally before the clinician examines the hand. Staff can explain how the scales work, but the ratings should be the patient’s own. The clinician then scores the form and files it with that visit.

How do you score the questionnaire?

Under the published PRWHE method, the five pain items add up to a pain subscale of 0–50. The ten activity items are added and halved for a function subscale of 0–50. Together they give a 0–100 total, where lower is better. This form records pain frequency as free text, so collect a 0–10 rating for it before you total the pain items.

Does the form include range of motion or grip strength?

No. The form holds only the patient’s ratings of pain, function and appearance. Record range of motion, grip and pinch strength, sensation and skin findings in your own clinical assessment.

Can I download a free hand profile template?

Yes, the hand profile PDF is free to download and print from this page. Review it against your local documentation standards before you use it with patients.

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Anja Dodevska
Content Writer

Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.
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