Table 1.
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. |
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