Please tell us how your arthritis affects your ability to carry out your daily activities OVER THE PAST WEEK:
  Without ANY Difficulty With SOME Difficulty With MUCH Difficulty UNABLE To Do
Dress yourself
Shampoos your hair
Get in and out of bed
Stand up from a chair
Lift a full cup of milk
Cut your meat
Walk outdoors
Climb 5 Steps
Please check any AIDS OR DEVICES that you usually use for any of the activities in the above Question:
Please check any categories for which you usually need HELP FROM ANOTHER PERSON: