Questionnaire - Page 3(a) of 9
(1078 maximum possible questions)		 Last updated: Oct 09, 2008

THE ANALYST TM
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This section deals with muscular diseases and symptoms.
281.  Has the condition Fibromyalgia ever been diagnosed?
Don't know
No
Yes, but it has since resolved
Yes, it is a current tolerable problem
Yes, I can no longer lead a normal life
282.  Do you have Muscular Dystrophy?
No / don't know
Suspected
Duchene muscular dystrophy (DMD)
Myotonic dystrophy (DM), Steinert's disease
Yes, Other
283.  Have you been diagnosed with Dermatomyositis?
Don’t know
No, ruled out
It is suspected
Yes, developed in the last 2 years
Yes, developed more than 2 years ago
284.  Do you have Myasthenia Gravis?
Don't know
No
Probably, it has been suggested by a doctor
Mild / Moderate
Severe
285.  Do your hands tremble or have a tremor?
No / don't know
Yes, but it stops while I am using them
Mild, only when I try to use them
Obvious, only when I try to use them
Constant and obvious
286.  Do you have individual muscles that are weaker than they should be?
Don't know
No
Mild / one
Moderate
Serious / several
287.  Do you experience momentary / temporary weakness, or even paralysis?
Don't know
No
Mildly
Moderately / occasionally
Severely / frequently
288.  Do you experience leg or foot cramping at night?
Don't know
No
In the past only
Current minor problem
Current major problem
289.  Do you suffer from leg or foot cramps that are unrelated to excessive exercise?
Never had them / don't know
Probably had them/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
290.  Do your legs cramp after walking, becoming better after rest?
Don't know
No
Yes, sometimes/moderately
Yes, often/severely
291.  Do your legs ache?
Don't know
No
Only when standing for a long time
Sometimes
All the time
292.  Do you have muscle twitches or cramps (spasms - muscles that are contracted when they shouldn't be) other than leg or foot cramps?
No / don't know
In the past only
Slight, occasionally
Constant or obvious
Severe - constant and obvious
293.  Are any of your muscles tight and rigid? This is more than they should be, not as a result of being well developed through exercise.
No / don't know
Somewhat
Yes, very
294.  Do you seem to have less muscle mass currently which can not be explained by exercising less than you used to?
No / don't know
Yes, somewhat less
Definitely a lot less
295.  Are your calf muscles tender for reasons other than overuse?
No / don't know
Somewhat
Yes, very
296.  Are your muscles sorer after heavy use than they should be or than you would expect? Some muscular soreness is normal a day or two after heavy activity to which that muscle is not accustomed.
Don't know
No
Possibly
Yes, I have noticed this occasionally
Yes, this is always the case
297.  Are your muscles in general sore or tender to the touch for no obvious reason? Do not include sore muscles that are due to flu or heavy exercise, for example.
No / don't know
Minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
298.  Do your legs hurt when you try to walk too far? This does not include pain after miles of walking, but rather pain that comes from walking less than a mile.
Don't know
No
Yes, somewhat
Yes, severely
299.  Are the muscles in the back of your neck tender?
Don't know
No
Somewhat
Yes, very
300.  Are you experiencing neck stiffness?
Don't know
No
Long term mild problem
Long term more pronounced problem
Yes, very recent onset
301.  Do you have tightness across the shoulders?
No / don't know
Yes, some
Yes, significant

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GLOSSARY

Dermatomyositis:  A diffuse connective tissue disease.

Fibromyalgia:  (FMS): Originally named fibrositis, it is a mysteriously debilitating syndrome that attacks women more often than men. It is not physically damaging to the body in any way, but is characterized by the constant presence of widespread pain that often moves about the body. Fibromyalgia can be so severe that it is often incapacitating.



 


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