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. Author manuscript; available in PMC: 2010 Sep 1.
Published in final edited form as: Arch Dermatol Res. 2009 Jul 15;301(8):573–579. doi: 10.1007/s00403-009-0981-3

Table 1.

Psoriatic arthritis screening and evaluation (PASE) questionnaire; please circle or mark only one of the five choices on the following 15 questions. The answers to these questions will help us better understand your symptoms. This should take about 5–6 min to complete. Thank you for your time

Symptoms sub-scale Strongly Disagree Disagree Neutral Agree Strongly Agree
1. I feel tired for most of the day 1 2 3 4 5
2. My joints hurt 1 2 3 4 5
3. My back hurts 1 2 3 4 5
4. My joints become swollen 1 2 3 4 5
5. My joints feel ‘hot’ 1 2 3 4 5
6. Occasionally, an entire finger or toe becomes swollen, making it look like a ‘sausage’ 1 2 3 4 5
7. I have noticed that the pain in my joints moves from one joint to another, e.g. my wrist will hurt for a few days then my knee will hurt and so on 1 2 3 4 5
SYMPTOM SCORE (Max 35) Add scores for questions 1-7 and write in box A A.
Function sub-scale Strongly Disagree Disagree Neutral Agree Strongly Agree
8. I feel that my joint problems have affected my ability to work 1 2 3 4 5
9. My joint problems have affected my ability to care for myself, e.g. getting dressed or brushing my teeth 1 2 3 4 5
10. I have had trouble wearing rings on my fingers or my watch 1 2 3 4 5
11. I have had trouble getting into or out of a car 1 2 3 4 5
12. I am unable to be as active as I used to be 1 2 3 4 5
13. I feel stiff for more than 2 hours after waking up in the morning 1 2 3 4 5
14. The morning is the worst time of day for me 1 2 3 4 5
15. It takes me a few minutes to get moving to the best of my ability, any time of the day 1 2 3 4 5
FUNCTION SCORE (Max 40) Add scores for question 8-15 and write in box B B.
TOTAL PASE SCORE (Max 75) Add scores in boxes A and B and write in box C C.

Brigham and women's hospital has made no investigation and makes no representations or warranties, express or implied, as to the questionnaire. Brigham and women's hospital makes no representations or warranties of merchantability or fitness for any particular purpose or that the use of the questionnaire will not infringe any patents, copyrights, trademarks or other rights of any third party. in no event shall data generated by or conclusions drawn from use of the questionnaire be used for the provision of patient care. Brigham and women's hospital shall not be liable for any direct, indirect or consequential damages to licensee or any third party, or with respect to any claim by any third party, on account of or arising from use of the questionnaire