INFLAMMATORY ARTHRITIS SCREENING TOOL

What is your age?

What is your gender?
Female
Male

Do you have a relative diagnosed with any form of inflammatory arthritis (e.g. Rheumatoid Arthritis, lupus)
Yes
No

Have you recently developed pain in your hands or feet in the past year?
Yes
No

Have you noticed any swelling of the joints in your hands, wrists, elbows or feet in the past year?
Yes
No

Do you notice that your joints are stiff for more than 45 minutes when you awaken after a long sleep in the absence of taking any medicine for your symptoms?
Yes
No

Has your doctor told you that you have a positive blood test for rheumatoid arthritis?
Yes
No