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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.
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First Name
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Last Name
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Email
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Telephone
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Address1
Address2
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City
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State
select
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Zip
  
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Date of surgery if known
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Name of support person or coach
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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. 

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It is okay to continue taking aspirin before my surgery.

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

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

Please include any additional questions you may have below.

Was our online video helpful?

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

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

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