Once you have seen the video, please complete the required brief quiz below. When finished, click "Submit." Your results will be sent directly to the Shoulder Replacement Navigator. If you have questions, contact us at 703-504-4550.

First Name

Last Name

Phone

Address

Address 2

City

State

Zip Code

Date of surgery, if known.

Name of hospital where you are having your surgery.

Name of surgeon performing your shoulder replacement.

Name of your support person or coach.

Quiz questions

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

Unless instructed otherwise, I should eat or drink after midnight the day before surgery.

I should cough and take deep breaths after my surgery.

I will be asked to rate my pain using a 0 to 10 scale. 10 would inicate the highest level of pain.

I will be on bed rest until the next morning after my surgery.

Please include any additional questions or comments you have in the field below.

Was our online video helpful?

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

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

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

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Quiz for Shoulder Replacement Patients

Quiz questions

Was our online video helpful?