Are you able to dress yourself? Are buttons or zippers getting harder to use?
Are you able to get up from bed easily?
Are you able to walk easily? Climb stairs?
Are there any special devices that you use to help you with your daily activities?
Are there any daily activities that you need help from a caregiver to do?
Do you have difficulty opening jars and doors and turning faucets on and off?
How much has pain interfered with your usual housework and work outside of the home?
How would you describe your overall health now and how would you compare that to how you felt a year ago?
Are you stiff in the morning? How long does the stiffness last?
Where in your body, and for how long, do you experience pain?
Have you had to reduce the time you spend on work or other things because of your RA?
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©2009 Bristol-Myers Squibb. All Rights Reserved.
IMUS08DA02207 Dec/09
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