Description

Back

Hips

Knees

Feet

Mouth/teeth

Other

All over

Variable

Archive

Hepawba

Hepawhi

Hepawkn

Hepawfe

Hepawmo

Hepawot

Hepawal

HePaWh1

HePaWh2

HePaWh3

HePaWh4

HePaWh5

HePaWh6

HePaWh7

│

│IF pain in back, hips, knees, feet or all over

││ [HEPAWH=1,2,3,4, 7]

││ HEPAB

││ How would you rate your pain if you were walking on a flat surface?

││ Please rate your pain from 0-10 for each of the following where 0 is no pain and 10

││ is severe or excruciating pain, as bad as you can imagine.

││ 1. Press [1] and enter to continue

││ 2. Can't walk or never walks

││

││ IF rating pain when walking = can’t walk

│││[HEPab = 2]

│││

│││HEPAB1

│││ INTERVIEWER: CHECK WHETHER EVER WALKS ON A FLAT SURFACE –

│││ INCLUDE ACROSS THEIR ROOM AT HOME, EVEN IF THEY ONLY WALK

│││ VERY SLOWLY. ONLY CODE 1 IF THEY SAY NO.

│││ 1. Confirms never walks or cannot walk

│││ 2. Does sometimes walk on a flat surface

│││

││ END OF FILTER

│ END OF FILTER

│

│ IF (pain in back OR pain all over) AND walks on a flat surface

││[ HEPAWH = 1,7] AND [HePab1 =2]

││

││ HEBCK

││ (How would you rate the pain) in your back?

││ INTERVIEWER: PROMPT IF NECESSARY: 'Where 0 is no pain and 10 is severe

││ or excruciating pain, as bad as you can imagine'.

││ Range: 0..10

││

│ END OF FILTER

│

│ IF (pain in hips OR pain all over) AND walks on a flat surface

││ [HEPAWH = 2 or 7 AND HePab1 =2]

││ HEHIP

││ (How would you rate the pain) in your hips?

││ INTERVIEWER: PROMPT IF NECESSARY: 'Where 0 is no pain and 10 is severe

││ or excruciating pain, as bad as you can imagine'.

││ Range: 0..10

││

│END OF FILTER

│

│ IF (pain in knees OR pain all over) AND walks on a flat surface

││ [HEPAWH = 3 or 7 AND HePab1 =2]

││ HEKNE

││ (How would you rate the pain) in your knees?

││ INTERVIEWER: PROMPT IF NECESSARY: 'Where 0 is no pain and 10 is severe

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