Arthritis Diagnosis SandBox Step 1 of 5 20% Age*Under 2121 to 3031 to 4041 to 5051 to 6061 to 7071 to 80Over 80Gender*MaleFemaleHave you been diagnosed with arthritis?* Yes, Osteoarthritis Yes, Rheumatoid Arthritis Yes, Other type(s) of Arthritis No, I have not been diagnosed by a doctor When did you first start noticing the joint pain?* Within the past 6 months 6 months to 2 years ago 2 to 5 years ago Over 5 years ago What is the most painful area?* Knees Feet Hips Back Neck Elbows Arms Hands Other area(s) When do you usually experience the most pain?* After activity After rest or sleep Activity level is irrelevant How long does the pain usually last?* A few minutes A few hours All day long Several days The pain is constant What time of the day are your symptoms worst?* Morning Afternoon Evening Night Time of day is irrelevant What is the highest of pain you experience on a scale of 1 to 10 (1 is having no pain, and 10 is the worst agony you can imagine)?* 1 2 3 4 5 6 7 8 9 10 Has anyone in your family (parents, grandparents, siblings, or children) been diagnosed with arthritis?* Yes No I am not sure Do you currently work in a job that requires long hours of standing or sitting, frequent kneeling, or repetitive motion, or did you work in such a job before your arthritis symptoms started?* Yes No Did you experience any kind of accident shortly before your arthritis symptoms started?* Yes No I am not sure How would you describe your weight?* Underweight Normal Overweight Obese Do you have high blood pressure (over 120/80)?* Yes No I am not sure Do you smoke?* Yes No How would you describe your average physical activity? I work out (walk, run, visit the gym, swim, etc.) for at least 25 minutes:* Less than once a week 2 to 3 times a week 4 to 6 times a week Every day How would you describe your diet?* Extremely healthful Healthful Normal Unhealthful Extremely unhealthful Test Completed Thank you for completing this test. It will take me a few minutes to process your answers. Please fill out your information below so I can email you a personalized report:Name* First Last Email*
