Rheumatoid Arthritis: A Patient Mind Survey

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1. Would you consider yourself a healthcare provider, caregiver, or patient?

Healthcare Provider

Caregiver

Patient

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2. What is your age?

110

Clear

i We adjusted the number you entered based on the slider’s scale.

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3. Do you identify yourself as a female or male?

Female

Male

Other

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4. Do you have joint pain?

No Pain

Minor Pain

Severe Pain

Clear

i We adjusted the number you entered based on the slider’s scale.

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5. Have you discussed joint pain with your doctor?

Yes, my Primary Care Doctor

Yes, with a Rheumatologist

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6. Do you have any joint swelling?

No Swelling

Minor Swelling

Major Swelling

Clear

i We adjusted the number you entered based on the slider’s scale.

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7. Do you have joint stiffness?

Yes

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8. Are your joints tender to the touch?

Yes

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9. How would you describe your joints?

Normal Temp

Warm to the Touch

Hot and Inflamed

Clear

i We adjusted the number you entered based on the slider’s scale.

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10. Do you have muscle pain?

None

Sore Muscles

Muscle Pain

Clear

i We adjusted the number you entered based on the slider’s scale.

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11. Are you tired a lot?

Somewhat

Very Tired

Clear

i We adjusted the number you entered based on the slider’s scale.

Rheumatoid Arthritis: A Patient Mind Survey

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* 1. Would you consider yourself a healthcare provider, caregiver, or patient?

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* 2. What is your age?

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* 3. Do you identify yourself as a female or male?

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* 4. Do you have joint pain?

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* 5. Have you discussed joint pain with your doctor?

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* 6. Do you have any joint swelling?

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* 7. Do you have joint stiffness?

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* 8. Are your joints tender to the touch?

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* 9. How would you describe your joints?

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* 10. Do you have muscle pain?

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* 11. Are you tired a lot?

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* 12. What is your zip code?

1. Would you consider yourself a healthcare provider, caregiver, or patient?

2. What is your age?

3. Do you identify yourself as a female or male?

4. Do you have joint pain?

5. Have you discussed joint pain with your doctor?

6. Do you have any joint swelling?

7. Do you have joint stiffness?

8. Are your joints tender to the touch?

9. How would you describe your joints?

10. Do you have muscle pain?

11. Are you tired a lot?

12. What is your zip code?