Skip to main content
. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: Clin Rheumatol. 2016 Aug 1;35(11):2639–2648. doi: 10.1007/s10067-016-3364-0

Table 4.

Screening questionnaire suggested for use in studies of the incidence of SARA, adapted from Townes et al. [45]

Since developing STI symptoms or since having an STI test, have you experienced pain, swelling or stiffness in any of your joints? This could be in any joints including your fingers, wrists, knees, ankles, toes or the spine. No graphic file with name emss-69598-i001.jpg Questionnaire terminates
Yes graphic file with name emss-69598-i002.jpg Questionnaire continues
Since developing STI symptoms or since having an STI test, have you developed any of the following new symptoms?
Joint pain or discomfort No graphic file with name emss-69598-i003.jpg When did this begin? When did this go away? (provide option for still experiencing symptoms)
Joint swelling or redness No When did this begin? When did this go away? (provide option for still experiencing symptoms)
Morning joint or back stiffness lasting longer than 1 hour No When did this begin? When did this go away? (provide option for still experiencing symptoms)
Heel pain No When did this begin? When did this go away? (provide option for still experiencing symptoms)
Lower back pain No When did this begin? When did this go away? (provide option for still experiencing symptoms)
Offer rheumatological review if period of symptoms aligns with possible ReA