|
| | | Domain |
|
| 1 | I have difficulty walking | py1 |
| 2 | I have difficulty bending down or straightening up | py2 |
| 3 | I have difficulty going down stairs | py4 |
| 4 | I have difficulty climbing stairs | py5 |
| 5 | I have difficulty taking a bath | py6 |
| 6 | I have difficulty getting dressed | py7 |
| 7 | I have difficulty cutting my toe-nails | py8 |
| 8 | I have difficulty getting in and out of a car | py10 |
| 9 | I have difficulty using public transport | py11 |
| 10 | My spirits are low because of the pain | m15 |
| 11 | I worry about being disabled | m17 |
| 12 | I feel embarrassed when people look at me | m18 |
| 13 | I am anxious | m19 |
| 14 | I am depressed | m20 |
| 15 | I feel my family life is being affected | m21 |
| 16 | I have pain (describe frequency) | pn26 |
| 17 | I have pain (describe intensity) | pn27 |
| 18 | I need help for things like housework and shopping | py28 |
| 19 | I am able to plan projects for the long term | sf30 |
| 20 | I get out of the house as much as I like | sf31 |
| 21 | I entertain at home as much as I like | sf32 |
| 22 | I have difficulty getting to sleep or getting back to sleep because of pain | pn33 |
| 23 | I wake up because of pain | pn34 |
| 24 | I wonder what will become of me | m35 |
| 25 | I feel others understand the difficulties I have because of my arthritis | sp40 |
| 26 | I am embarrassed to ask for help if I need it | m41 |
| 27 | I feel supported by people close to me | sp42 |
| 28 | I feel supported by those around me | sp43 |
|
