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1. Have you tried a biologic, now or in the past, to treat your moderate to severe UC?

Knowing this can help your gastroenterologist determine the right treatment option for you.

It feels like my PsA symptoms are  .

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2a. How often do you experience flares (periods of time when you’re experiencing symptoms) on your current treatment?

2b. When you’re experiencing a flare, how many times a day do you have a bowel movement?

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My joint pain feels  .

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3. What symptoms do you find most disruptive?

Select all that apply.

It feels like my PsA symptoms are  .

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My joint pain feels  .

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My PsA symptoms limit my ability to do daily activities  .

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4. How has UC impacted your emotional well-being in the past month?

Select all that apply.

It's important to always share how you're feeling—good or bad—with your doctor.

It feels like my PsA symptoms are  .

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My joint pain feels  .

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My PsA symptoms limit my ability to do daily activities  .

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5. How does UC impact your life?

Select all that apply.

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You’re done! Make sure to download and print your results to share with your healthcare team at your next appointment.

It feels like my PsA symptoms are  .

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My joint pain feels  .

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My PsA symptoms limit my ability to do daily activities  .

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  missed work or school due to PsA symptoms.  

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My PsA symptoms get in the way of  .

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