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Dermographia in Fibromyalgia
Please note that this survey is for FEMALES with Fibromyaglia only.
Question 1
When you firmly stroke your skin, does it turn red and maybe a liitle puffy? Can you write on your arm? TRY IT! - firmly stroke your forearm like in pic here: http://painmuse.org/images/dermo.jpg
No
Yes - since I was a child
Yes - started as an adult
Question 2
How long ago did a Doctor diagnose you with Fibromyalgia?
0-5 years
5-10 years
10-20 years
Over 20 years
Question 3
Your age?
20-30
30-40
40-50
Over 50
Question 4
Did your Fibromyalgia start after an injury such as whiplash or back pain?
Yes
No
Question 5
Do you get hives (red blotchy skin reactions)
No
Rarely (less than monthly)
Occasionally(less than weekly)
Frequently (more than once a week)
Question 6
Do you have asthma where on occasion you need to use inhalers?
Yes
No
Question 7
Do you have allergic nasal congestion issues?
Yes
No
Question 8
Do you have headaches bad enough to require you to take pills?
No
Rarely (less than monthly)
Occasionally (less than weekly)
Frequently (more than once a week)
Question 9
Have you been diagnosed with any type of arthritis of hands, wrists, hips or knees?
Yes
No
Question 10
Are you double jointed such that knee and elbows bend both ways?
Yes
No
Question 11
Have you been diagnosed with an irritable bowel?
Yes
No
Question 12
Do you have bladder frequency issues where you go more often than every 2 hours and get up more than once at night?
Yes
No
Question 13
Have you ever been diagnosed with any of following bowel diseases?
None of these
Ulcerative colitis
Crohn's disease
Microscopic colitis
Question 14
Have you been diagnosed with any of the following skin conditions?
none
eczema
psoriasis
both eczema and psoriasis
Question 16
What is your average pain out of 10 in the last month?
Mild -1-3.9 - can ignore
Moderate 4-6.9- can function with medication
Severe 7+ - Disabled with incapacitating pain