| Ok, time for your basic make-and-model questions: |
| Name: |
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| Email: |
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| Age: |
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| Hometown: |
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What kind(s) of arthritis do you have?
Spondylarthropathies includes ankylosing spondylitis, psoriatic arthritis, and Reiter's syndrome.
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Yes, (don't know type)
Yes, osteoarthritis
Yes, fibromyalgia
Yes, rheumatoid arthritis
Yes, gout
Yes, spondylarthropathies
Yes, juvenile arthritis
Yes, juvenile rheumatoid arthritis (JRA)
Yes, lupus
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| How long have you had it? |
Less than one year
1 to 2 years
2 to 5 years
5 to 10 years
10 to 15 years
15 to 20 years
Over 20 years
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| Does anyone in your family have arthritis? |
Yes
No
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| Now that we've gotten that out of the way, tell us some more about your experiences with arthritis. |
| How do you currently treat your arthritis? |
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| What have you found to be the worst method of treating your arthritis? |
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| Have you ever been under the knife as a result of your arthritis? |
Yes
No
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| Sure, we know the pain can be unbearable. But, has anything good come out of your arthritis? |
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| Arthritis can often be a consuming disease - but we still have other interests in life. So, make like Julie Andrews and share with us a few of your favorite things: |
| Favorite movie? |
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| Favorite song? |
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| Favorite website (Aside from the obvious answer...)? |
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| Snappiest clothing store? |
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| Coolest car? |
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| Most pleasant smell? |
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| Favorite U.S. President? |
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| Coke or Pepsi? |
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| Backstreet or *NSYNC? |
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| Digging deeper... |
| What do people thinks is your worst, most irrevocable attribute? |
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| How do you deal with stress? |
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| If you could sneak your own message into a million fortune cookies, what would it be? |
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| If you could shoot the breeze with the following three people, what would you say to... |
| George Dubya? |
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| Buddha? |
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| Britney Spears? |
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| The home stretch... |
| Would you ever consider smoking pot for medicinal purposes? |
Yes
No
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| Gun control legislation: loosen up a bit or tighten the reigns? |
Loosen
Tighten
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| What is your opinion on the Iran-Contra affair? |
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| And, that is pretty much all we need to know! With those questions alone, we'll be able to tell if you are interesting or boring as a brick (Though almost anyone with arthritis has an interesting story to tell!). If there is anything else worthy of mentioning, let us know in the box below. |
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