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1. How severe is the hand or wrist pain that you have at night?	Normal	Slight	Medium	Severe	Normal
2. How often did your hand or wrist pain wake you up during a typical night in the past two weeks?	Normal	Once	2 to 3 times	4 to 5 times	Normal
3. Do you typically have pain in your hand or wrist during the daytime?	No pain	Slight	Medium	Severe	No pain
4. How often do you have hand or wrist pain during the daytime?	Normal	1–2 times/day	3–5 times/day	More than 5 times	Normal
5. How long on average does an episode of pain last during the daytime?	Normal	<10 min	10~60 min Continuous	>60 min	Normal
6. Do you have numbness (loss of sensation) in your hand?	Normal	Slight	Medium	Severe	Normal
7. Do you have weakness in your hand or wrist?	Normal	Slight	Medium	Severe	Normal
8. Do you have tingling sensations in your hand?	Normal	Slight	Medium	Severe	Normal
9. How severe is the numbness (loss of sensation) or tingling at night?	Normal	Slight	Medium	Severe	Normal
10. How often did hand numbness or tingling wake you up during a typical night during the past two weeks?	Normal	Once	2 to 3 times	4 to 5 times	Normal
11. Do you have difficulty with the grasping and use of small objects such as keys or pens?	Without difficulty	Little difficulty	Moderately difficult	Very difficult	Without difficulty