Rheumatoid Arthritis:

How often do you have trouble getting out of bed in the morning?

• 5 to 7 days a week
• 3 to 5 days a week
• 2 or fewer days a week

How long does your joint stiffness typically last after you get up?

• More than 1 hour
• 30 minutes to 1 hour
• 15 to 30 minutes
• Less than 15 minutes

How often does joint pain or stiffness interfere with activities
like shopping and housework?

• Most of the time
• Often
• Rarely
• Not at all

How difficult is it to open jars and doors, or to get dressed?

• Very difficult
• Somewhat difficult
• Usually not difficult
• Not difficult at all

How would your rate your pain on a scale of 1 to 10?

• 7 to 10 (Severe pain)
• 4 to 6 (moderate pain)
• 1 to 3 (zero to slight pain)

Do you take prescription medication for rheumatoid arthritis?

• Yes, I take medicine prescribed by my doctor.
• No, I don't take regular medication.