1. Are your symptoms constantly with you 24 hours a day even when you rest or gently walk?

Yes

No

2. In the past 3 days have you felt pain or stiffness in the morning?

Yes

No

If "yes" to question 2: How long does it take for the pain or stiffness to ease if you don’t take medication?

Less than 30 minutes

30-60 minutes

Greater than one hour

Constant pain or stiffness all day

I always take medication

3a. Is your pain eased by walking short distances (eg one block) ?

Yes

No

4. In the past 3 days how often have the symptoms woken you while sleeping?

Not at all (skip rest of survey)

Some nights (go to question 4a)

Most nights (go to question 4a)

Every night (go to question 4a)

4a. In the past 3 days when the symptoms have woken you, what was the reason?

Rolling over

Wake due to pain without moving

Other

4b. In the past 3 days when the symptoms have woken you, what have you done so you can go back to sleep? Please tick one box only (the thing you usually do to go back to sleep).

Nothing helps, can’t fall back to sleep

Change positions in bed

Sit up

Get out of bed

Take medication

Other