Boston Carpal Tunnel Questionnaire

The Boston Carpal Tunnel Questionnaire (BCTQ) is a self-administered questionnaire for assessing the severity of symptoms and functional status in patients with carpal tunnel syndrome.

Instructions:

Please answer all questions based on your symptoms and abilities during the past two weeks. Select the response that best describes your condition.

Symptom Severity

1
I do not have hand or wrist pain at night
2
Mild pain
3
Moderate pain
4
Severe pain
5
Very severe pain
1
Never
2
Once
3
Two or three times
4
Four or five times
5
More than five times
1
I never have pain during the day
2
I have mild pain during the day
3
I have moderate pain during the day
4
I have severe pain during the day
5
I have very severe pain during the day
1
Never
2
Once or twice a day
3
Three to five times a day
4
More than five times a day
5
The pain is constant
1
I never get pain during the day
2
Less than 10 minutes
3
10 to 60 minutes
4
Greater than 60 minutes
5
The pain is constant throughout the day
1
No
2
I have mild numbness
3
I have moderate numbness
4
I have severe numbness
5
I have very severe numbness
1
No weakness
2
Mild weakness
3
Moderate weakness
4
Severe weakness
5
Very severe weakness
1
No tingling
2
Mild tingling
3
Moderate tingling
4
Severe tingling
5
Very severe tingling
1
I have no numbness or tingling at night
2
Mild
3
Moderate
4
Severe
5
Very severe
1
Never
2
Once
3
Two or three times
4
Four or five times
5
More than five times
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Very severe difficulty

Functional Status

1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
Cannot perform the activity at all due to hand or wrist symptoms

Patient Watch Form - 4/2/2026