This free survey is powered by
  1. Surveys
  2. 2016
  3. April
  4. C
  5. Cloudy Test
0%
Exit Survey
 
 
Thank you for registering to take part in this ground breaking study.

The next 8 questions will ask you a little bit about your health as you enter the study....
 
 
Think about the gender that you identify with most
Are you Male/Female?
 
Male
 
Female
 
Other
 
 
 
 
What is your year of birth?
   
 
 
 
What is the first part of your postcode?
   
 
 
 
Where is your pain? (please tick all that apply)
 
Head
 
Face
 
Mouth/jaws
 
Neck or shoulder pain
 
Back pain
 
Stomach or abdominal pain
 
Hip pain
 
Knee pain
 
Pain at multiple sites
 
Pain all over the body
 
Other
 

 
 
 
Has your doctor ever told you that you have any of the following conditions? (please tick all that apply)
 
Rheumatoid arthritis
 
Osteoarthritis
 
Spondyloarthropathy / ankylosing spondylitis
 
Gout or other crystal arthritis (e.g. pseudogout)
 
Arthritis (type not specified)
 
Fibromyalgia/chronic widespread pain
 
Chronic headache
 
Neuropathic pain
 
Other
 

 
 
 
What types of medication are you currently using?
Painkillers (please tick all that apply)
 
 Paracetamol
 
 Non-steroidal anti-inflammatory drugs (NSAIDs) e.g. ibuprofen, diclofenac, naproxen, indomethacin, meloxicam, ketoprofen, celecoxib, etoricoxib, etodolac,
 
 Other simple analgesics e.g. cocodamol, codydramol
 
 Weak opiates e.g. codeine, dihydrocodeine, tramadol
 
 Strong opiates e.g. buprenorphine, fentanyl, morphine, oxycodone
 
 Drugs for neuropathic pain e.g. gabapentin, pregabalin, duloxetine
 
Other
 

 
 
 
Other types of medication (please tick all that apply)?
 
Glucocorticoids (or steroids) e.g. prednisolone, methylprednisolone, dexamethasone
 
Disease modifying anti-rheumatic drugs (DMARDs) (please tick all that apply) Synthetic Disease Modifying Anti-Rheumatic Drugs (DMARDs) e.g. Methotrexate, sulfasalazine, hydroxychloroquine, leflunomide, gold, azathioprine, mycofenolate, cyclosporine, cyclophosphamide
 
Biologic DMARDs e.g. Etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira), certolizumab (Cimzia), golimumab (Simponi), rituximab (Mabthera), tocilizumab (Actemra), abatacept (Orencia)
 
Other
 

 
 
 
Disease modifying anti-rheumatic drugs (DMARDs) (please tick all that apply)
 
Synthetic Disease Modifying Anti-Rheumatic Drugs (DMARDs)
 
e.g. Methotrexate, sulfasalazine, hydroxychloroquine, leflunomide, gold, azathioprine, mycofenolate, cyclosporine, cyclophosphamide
 
Other
 

 
 
How likely do you think it is that the weather is associated with pain?
1-5
 
Thanks for your respones!