Joint Pain Relief Analyzer

1. How would your rate your daily joint pain, on a scale of 1 to 10? (1 for less pain - 10 is greater pain)
Required Question

	8 to 10 (continuous, unbearable joint pain)
	6 to 7 (high joint pain, most of the time)
	3 to 5 (occasional, moderate joint pain)
	1 to 2 (low joint pain, at times)
	Not Sure

2. How difficult is it for you to use door handles, open jars or do up buttons when getting dressed? Required Question

3. Do you take prescription medication for your joint pain? Required Question

	Yes
	No

4. How long does stiffness in your joints typically last, after you get up in the morning?

5. Which elements does your exercise routine for joint pain relief include (check all that apply)... Required Question

	Aerobic activity (walking, running, swimming)
	Weight lifting
	Stretching, to maintain or increase flexibility
	All of the above
	Don't currently exercise

6. Which of the following joints hurt, are stiff or lack mobility?

	LEFT SIDE	RIGHT SIDE	BOTH SIDES	NONE
Hands or fingers
Feet or toes
Shoulders
Elbows
Wrists
Other (jaw, neck, hip, knees, ankles)

7. Thinking of a typical day, how would you describe your joint pain? Required Question

	Continuous, dull ache that never goes away
	Momentary, minor pain - depending on body position
	Momentary, sharp pain - depending on body position

8. What have you found, so far, that reduces your joint pain? (check all that apply) Required Question

9. How would you rate your current stress level? (including stress due to your joint pain) Required Question

10. In the location where you are experiencing the most joint pain, is it caused by a previous injury or accident? Required Question

	Heat
	Acupuncture
	Massage
	Prescription medication
	Natural supplement - ointment
	Exercise/stretching
	Change in diet
	Other method
	Nothing seems to help

Low stress	Low-Medium stress	Moderate stress	Moderate to High stress	Very High stress