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Tristate Arthritis and Rheumatology Multidimensional Health Assessment Questionnaire (MDHAQ) YOUR NAME: 1. Todays Date: Please check () the ONE best answer for your abilities at this time: Without.

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How to fill out the Multidimensional Health Assessment Questionnaire online

The Multidimensional Health Assessment Questionnaire is a valuable tool used to assess an individual's overall health and well-being. This guide provides step-by-step instructions on how to effectively complete the questionnaire online, ensuring you accurately convey your health status.

Follow the steps to successfully complete the form

  1. Press the ‘Get Form’ button to obtain the questionnaire and launch it in your online editor.
  2. Begin by entering your name at the top of the form where indicated. Then, provide today's date in the designated space.
  3. For each of the abilities listed under the first section, check (ü) the box that best describes your experience over the past week. You have three options: ‘Without any difficulty,’ ‘With some difficulty,’ or ‘With much difficulty.’
  4. In the following section, assess the severity of your pain over the past week by marking the appropriate box that reflects your experience from ‘No pain’ to ‘Pain as bad as it could be.’
  5. Look for the section that asks you to describe any recent pain, discomfort, or other symptoms you have experienced. Write your insights in the space provided.
  6. Circle any symptoms listed that you have experienced recently, and provide explanations in the given sections to elaborate on your health status.
  7. If there have been recent developments in your medical conditions, medications, or other relevant information, detail this in the space provided.
  8. Once you have completed all sections and ensured your information is accurate, you can save your changes, download a copy, print the form, or share it as needed.

Complete your Multidimensional Health Assessment Questionnaire online today for a comprehensive view of your health!

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How are the HAQ-DI scores interpreted? Scores of 0 to 1 are generally considered to represent mild to moderate difficulty, 1 to 2 moderate to severe disability, and 2 to 3 severe to very severe disability.

The multidimensional health assessment questionnaire (MDHAQ) includes RAPID3 (routine assessment of patient index data), a 0–30 index of three 0–10 visual numeric scales (VNS) of physical function, pain and patient global assessment (see Figure 1).

Multidimensional Health Assessment Questionnaire, which includes the modified Health Assessment Questionnaire, advanced activities of daily living, and psychological items in the format of the Health Assessment Questionnaire, as well as visual analog scales for pain and fatigue, and the Rheumatology Attitudes Index to ...

The Health Assessment Questionnaire (HAQ) was originally developed in 1978 by James F. Fries, MD, and colleagues at Stanford University. It was one of the first self-report functional status (disability) measures and has become the dominant instrument in many disease areas, including arthritis.

The Health Assessment Questionnaire (HAQ) was originally developed in 1978 by James F. Fries, MD, and colleagues at Stanford University. It was one of the first self-report functional status (disability) measures and has become the dominant instrument in many disease areas, including arthritis.

The two-page MDHAQ includes 0–10 scores for physical function (in 10 activities), pain and patient global assessment [on 0–10 visual analogue scales (VAS)], compiled into a 0–30 RAPID3, as well as fatigue and self-report painful joint count scales. Rheumatologists estimate a 0–10 DOCGL VAS.

Scoring options are 0 (none), 1 (mild), 2 (moderate) or 3 (severe) pain, with a total score range from 0 to 48.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232