Rheumatoid Arthritis Survey

1. How long have you been living with Rheumatoid Arthritis (RA)?

How long have you been living with Rheumatoid Arthritis (RA)? less then 5 years

5-10 years

10-20 years

20 years or more

2. Gender

Gender Male

Female

3. Where does RA effect you the most?

Where does RA effect you the most?

4. Which do you find the most difficult to use?

Which do you find the most difficult to use? Switches

Knobs

Levers

Handles

Other (please specify)

5. Which motion do you find the most painful?

Which motion do you find the most painful? Picking up objects

Pinching objects

Pulling objects

Twisting objects

Other (please specify)

6. What daily task do you find the most difficult to do?

What daily task do you find the most difficult to do?

7. Do you find yourself improvising to do simple tasks?

Do you find yourself improvising to do simple tasks? Yes

No

If Yes please specify

8. Any comments or suggestions are helpful.

Any comments or suggestions are helpful.

Rheumatoid Arthritis Survey
Exit this survey

1. Default Section

1. How long have you been living with Rheumatoid Arthritis (RA)?

2. Gender

3. Where does RA effect you the most?

4. Which do you find the most difficult to use?

5. Which motion do you find the most painful?

6. What daily task do you find the most difficult to do?

7. Do you find yourself improvising to do simple tasks?

8. Any comments or suggestions are helpful.

Rheumatoid Arthritis Survey Exit this survey

1. Default Section

1. How long have you been living with Rheumatoid Arthritis (RA)?

2. Gender

3. Where does RA effect you the most?

4. Which do you find the most difficult to use?

5. Which motion do you find the most painful?

6. What daily task do you find the most difficult to do?

7. Do you find yourself improvising to do simple tasks?

8. Any comments or suggestions are helpful.

Rheumatoid Arthritis Survey
Exit this survey