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Rheumatoid arthritis review

Rheumatoid arthritis

Form summary

Rheumatoid arthritis questions

We are interested in learning how your illness affects your ability to function in daily life
Over the past week, have you been able to get on and off the toilet? *
Over the past week, have you been able to open car doors? *
Over the past week, have you been able to stand up from a straight chair? *
Over the past week, have you been able to walk outdoors on flat ground? *
Over the past week, have you been able to wait in a line for 15 minutes? *
Over the past week, have you been able to reach and get down an object, such as a bag of sugar, from just above your head? *
Over the past week, have you been able to go up 2 or more flights of stairs? *
Over the past week, have you been able to do outside work, such as gardening? *
Over the past week, have you been able to lift heavy objects? *
Over the past week, have you been able to move heavy objects? *
How much pain have you felt over the past week?
On a scale of 0 being “no pain” and 10 being “severe pain”
How much of a problem has unusual fatigue or tiredness been for you over the past week?
On a scale of 0 being “no fatigue” and 10 being “severe fatigue”
How much of a problem has sleeping been for you over the past week?
On a scale of 0 being “no difficulty sleeping” and 10 being “severe difficulty sleeping”
How active has your arthritis been in the last 24 hours?
On a scale of 0 being “not active” and 10 being “very active”
When you get up in the morning do you feel stiff?
Do you have a family history of osteoporosis?
Include when they were diagnosed (if known)
Are you happy with your treatment?
For example, your medication
Have you had any recent changes in your treatment?
Have you had any recent flares of your condition?
Do you feel you need more support or aid at home?
Have you had any falls in the last year?
Over the last 2 weeks, how often are you bothered by little interest or pleasure in doing things? *
Over the last 2 weeks, how often are you bothered by feeling down, depressed or hopeless? *

Alcohol consumption

Do you drink alcohol?
Units and calories for drinks
Type of drink Number of alcohol units
Single small shot of spirits (25ml, ABV 40%) 1 unit
Alcopop (275ml, ABV 5.5%) 1.5 units
Small glass of red/white/rosé wine (125ml, ABV 12%) 1.5 units
Bottle of lager/beer/cider (330ml, ABV 5%) 1.7 units
Can of lager/beer/cider (440ml, ABV 5.5%) 2.4 units
Pint of lower-strength lager/beer/cider (ABV 3.6%) 2 units
Standard glass of red/white/rosé wine (175ml, ABV 12%) 2.1 units
Pint of higher-strength lager/beer/cider (ABV 5.2%) 3 units
Large glass of red/white/rosé wine (250ml, ABV 12%) 3 units
For example, 2.5

Height and weight

For example, 1.75
For example, 60.6

Smoking

What is your smoking status? *

Smoker

What type of tobacco or other product do you use mostly? *
How many cigarettes do you smoke on an average day? *
How many cigars do you smoke on an average day? *

When you quit smoking, good things start to happen. You can begin to see almost immediate improvements to your health.

It’s never too late to quit and it’s easier to stop smoking with the right support.

Get help with NHS Quit Smoking (opens in new tab)

Would you like to give up smoking? *

Ex-smoker

What type of tobacco or other product did you use mostly? *
How many cigarettes did you smoke on an average day? *
How many cigars did you smoke on an average day? *

Blood pressure

Are you able to provide a blood pressure reading?

When you’re taking your blood pressure at home there are things you can do to help get an accurate reading.

Try to:

  • sit on an upright chair with a back
  • place your feet flat on the floor
  • rest your arm on a table and relax your hand and arm
  • wear something with short sleeves so the cuff does not go over clothes
  • relax, breathe normally and do not talk during the test
  • take another reading a few minutes after your first reading to check it’s accurate

If you’ve been asked by a healthcare professional to measure your blood pressure, do this as often as they advised.

Watch how to measure your blood pressure at home (opens in new tab)

For example, 31/01/1980
mmHg
mmHg
/min
Terms and conditions