All reporting of your responses will be in the aggregate; no individually identifiable information will be shared.

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  • ______________________________________________________________________________________________________________________
  • Please enter the number (no decimals) that best describes how much physical pain your arthritis caused during the week preceding your first participation in the Walk with Ease program.

    Zero (0) is "no pain at all" -- Ten (10) is "the worst pain possible"
    Please enter a number from 0 to 10.
  • Please enter the number (no decimals) that best describes how much of a problem fatigue was for you during the week preceding your first participation in the Walk with Ease program.

    Zero (0) is "no problem" -- Ten (10) is "a major problem"
    Please enter a number from 0 to 10.
  • ______________________________________________________________________________________________________________________
  • The following items are about activities you might do during a typical day. Did your health status preceding your participation in the Walk with Ease program limit you in these activities?

    For each item listed below choose the appropriate response for you