Pain | ||||||||||||
Circle the number that best describes the pain you felt due to your rheumatoid arthritis (RA) during the last week. | ||||||||||||
None | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Extreme |
Functional disability assessment | ||||||||||||
#Circle the number that best describes the difficulty you had in doing daily physical activities due to your RA during the last week. | ||||||||||||
No difficulty | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Extreme difficulty |
Fatigue | ||||||||||||
Circle the number that best describes how much fatigue you felt due to your RA during the last week. | ||||||||||||
No fatigue | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Totally exhausted |
Sleep | ||||||||||||
Circle the number that best describes the sleep difficulties (ie, resting at night) you felt due to your RA during the last week. | ||||||||||||
No difficulty | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Extreme difficulty |
Physical wellbeing | ||||||||||||
Considering your arthritis overall, how would you rate your level of physical well-being during the past week? Circle the number that best describes your level of physical wellbeing. | ||||||||||||
Very good | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Very bad |
Emotional wellbeing | ||||||||||||
Considering your arthritis overall, how would you rate your level of emotional well-being during the past week? Circle the number that best describes your level of emotional wellbeing. | ||||||||||||
Very good | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Very bad |
Coping | ||||||||||||
Considering your arthritis overall, how well did you cope (manage, deal, make do) with your disease during the last week? | ||||||||||||
Very well | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | Very poorly |
RAID, rheumatoid arthritis impact of disease.