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

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* 2. What is your age?

0 110
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* 3. Do you identify yourself as a female or male?

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* 4. Do you have joint pain?

No Pain Minor Pain Severe 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?

No Swelling Minor Swelling Major 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?

Normal Temp Warm to the Touch Hot and Inflamed
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* 10. Do you have muscle pain?

None Sore Muscles Muscle Pain
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* 11. Are you tired a lot?

No Somewhat Very Tired
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* 12. What is your zip code?

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