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Begin by entering your name and the date at the top of the form. This personal information is essential for tracking your health assessment.
For each section, such as Dressing & Grooming, Arising, Eating, and Walking, place an 'x' in the box that best describes your abilities over the past week. Be honest to ensure accurate assessment.
In the 'AIDS OR DEVICES' sections, check any devices you typically use for assistance with activities listed. This helps provide a comprehensive view of your needs.
Indicate if you require help from another person for any activities by checking the relevant categories. This information is crucial for understanding support requirements.
Rate your everyday physical activities and pain levels on the provided scales. This subjective data is vital for evaluating your overall health status.
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Jan 19, 2001 The HAQ Disability Index and Pain Scale have been widely used for research purposes in both experimental and observational studies, as well asRead more
Improvement in physical function based on the HAQ-DI was maintained for up to 84 weeks through the open-label portion of the study. 14.4 Ankylosing Spondylitis.Read more
Health Assessment Questionnaire- Disability Index (original)
Please place an x in the box which best describes your abilities OVER THE PAST WEEK: WITHOUT ANY. DIFFICULTY. WITH SOME. DIFFICULTY. WITH MUCH. DIFFICULTY.Read more
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