This questionnaire allows us to assess the outcome of the surgery you have undergone or will undergo. A part of this questionnaire needs to be filled in by your orthopaedic surgeon. Preferably you should visit the Orthopaedic Clinic clinic for a scheduled follow-up with Dr. Cheng. If you cannot, kindly print out this questionnaire, fill it out through Page 4, and mail it to:
Edward Y. Cheng, M.D.
c/o Nancy Borgstrom
University of Minnesota
Department of Orthopaedic Surgery
2450 Riverside Avenue South, Suite R200
Minneapolis MN 55454
U.S.A.
Download the Questionnaire File
This is a small Acrobat (.PDF) file. If you need to obtain the Acrobat Reader, please click on the button to jump to Adobe's web site:
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