Patient Activity Scale - II (PAS-II) The PAS II is a composite index composed of a visual analog scale for pain, scored from 0 to 10; a PGA, expressed on a visual analog scale from 0 to 10; and the HAQ-II We are interested in learning how your illness affects your ability to function in daily life. Place an X in the box which best describes your usual abilities OVER THE PAST WEEK: Stand up from a straight chair? Walk outdoors on fat ground? Get on/off toilet? Reach and get down a 5 pound object (such as a bag of sugar) from just above your head? Open car doors? Do outside work (such as yard work)? Wait in a line for 15 minutes? Lift heavy objects? Move heavy objects? Go up two or more fights of stairs? We are also interested in learning whether or not you are afected by pain because of your illness. How much pain have you had because of your illness in the past week? Place an X in the box that best describes the severity of your pain on a scale of 0-10 NO SEVERE PAIN PAIN Considering ALL THE WAYS THAT YOUR ILLNESS AFFECTS YOU, RATE HOW YOU ARE DOING on the following scale. Place an X in the box below that best describes how you are doing on a scale of 0-10 VERY VERY WELL POOR Without Any With With Unablt To Do Diffculty Soce 4uch Diffculty Diffculty (0) (1) (2) (3) Are you able to: 0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 10.0 0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 10.0 Ref: Wolfe F. J Rheumatol. 2005 Dec;32(12):2410-5. 7
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