Quiz for Joint Patients

Once you have viewed the educational video, please complete this required brief quiz. Fill in all the fields below and click on the appropriate button (True or False) for each of the statements. When finished, click "Submit." Your results will be sent directly to the Joint Patient Care Navigator at Inova Fair Oaks Hospital. If you have questions, contact us at 703-391-4555.

Thank you for completing this quiz.

First Name

Last Name

Telephone

Address1

Address2

City

State

select

Zip

Date of surgery if known

Name of support person or coach

I should shower with chlorhexidine gluconate* (CHG) before my surgery.

*If you attend the Joints in Motion class, the soap will be given to you there. If unable to attend, the soap can be purchased at most drug stores under the brand name Hibiclens and Exidine.

True
False

It is okay to continue taking aspirin before my surgery.

True
False

I should cough, deep breathe and do frequent ankle pumps after my surgery.

True
False

I will be asked to rate my pain using a 1-10 scale. 10 would indicate the highest level of pain.

True
False

Please include any additional questions you may have below.

Was our online video helpful?

Did the video help to adequately prepare you for your procedure?

Yes
No

Did your support person or coach view this video with you?

Yes
No

If you feel the video was not helpful, what could we have done better?

SUBMIT

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