Over the past week, how difficult has it been for you to bathe or shower and dress yourself?
Over the past week, how difficult has it been for you to stand up from a straight chair or climb in or out of bed?
Over the past week, have you had trouble feeding yourself (e.g., cutting meat, lifting a full glass to your mouth, or opening a new milk carton)?
Are you able to walk two miles on flat ground?
Are you able to walk up five steps?
In how many joints do you experience pain and/or swelling? Be sure to count each joint as an individual entity (e.g., left and right knees are considered two affected joints, and the knuckle and joints in the middle of each finger should be counted separately).
Over the past week, how difficult has it been to pick up items from the floor?
Do you use any aids or assistive devices or need help from another person to perform everyday activities? Aids or devices may include a cane, crutches, walker, wheelchair, special utensils, special chairs, button hooks, jar opener, bathtub bar, or long-handled appliances.
Over the past week, how frequently have you felt anxiety, nervousness, or depression related to your rheumatoid arthritis?
Over the past week, how much pain have you had?