Gout Questionnaire


Gout Aware's
Gout Questionnaire

was designed to allow other readers of the site to compare how they fare in their suffering of Gout.

The questions summarize up a basic lifestyle and family history to link individuals into a commonality of reasons why we each have Gout.

Each time you finish the Questionnaire the results will be displayed instantly to compare how you fare in certain areas.

Over time I hope to have hundreds if not thousands of people answering the Questionnaire to give a larger more accurate perspective.

In the future I will make a more integrated more in-depth questionnaire.

It will only take a minute of so to complete.

Thank you for your time.

Your email address will not be sold or given away. It will be completely secure.

regards

Peter

admin@gout-aware.com

Gout Questionnaire

Please note that all fields followed by an asterisk must be filled in.
YES
NO
MY WEIGHT VARIES
YES
NO
SOMETIMES
YES
NO
SOMETIMES
I BINGE DRINK
BEER
WINE
SPIRITS
ALL OF THE ABOVE
YES
NO
DON'T KNOW
YES
NO
SOMETIMES
YES
NO
SOMETIMES
YES
NO
DON'T KNOW
FATHER
MOTHER
BROTHER
SISTER
UNCLE
AUNT
GRANDPARENTS
NONE
YES
NO
NOT SURE
YES
NO
NOT SURE
1 DAY
2 TO 4 DAYS
1 WEEK
MORE
YES
NO
SOMETIMES
YES
NO
OCCASIONALLY
CAN'T REMEMBER
BIG TOES
HEELS
ANKLES
ELBOWS
FEET
HAND
WRISTS
FINGERS
KNEES
BACK
NECK
OTHER
BETWEEN 20 - 30
BETWEEN 30 - 40
BETWEEN 40 - 50
BETWEEN 50 - 60
BETWEEN 60 - 70
BETWEEN 70 - 80
BETWEEN 80 - 90
YES
NO
NOT REALLY
YES
NO
NOT SURE
APPLE CIDER VINEGAR
BAKING SODA
WATER
CHERRIES OR CHERRY JUICE
IONIZED/ALKALINE WATER
LOW URIC ACID DIET
CELERY EXTRACTS
ALFALFA
HERBAL TEAS
VITAMINS
OTHER HERBS
NOTHING
NSAIDs
ANALGESICS
CORTICOSTEROIDS
DMARDs
BIOLOGIC DRUGS
OTHER
MALE
FEMALE

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What Other Visitors Have Said

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Gout Sufferer 
I am a gout sufferer for 13 years. The first attack was in the ankle and then other places in the foot and now it hits the knees too. Attacks usually …

suffering 
I had both my hips totally replaced in 2008 after suffering from back and hip pain for years .... I was constantly in excruciating pain... After 9 months …

Update 
I found a registered dietitian online, whom I will be seeing tomorrow. I feel grateful that I am getting in to see someone right away, because this stuff …

Tony 
Hi Peter, I am a physician, had my first Gout episode last week. I was surfing through the web and happened to come across your site. I am impressed …

Cure Gout by balancing your PH levels 
I have suffered from gout since I was 30 years old. Having lived with gout for 20 years, I have needless to say, considered each and every cure ever suggested …

NEED MORE INFO ABOUT GOUT Not rated yet
I fell down my stairs and felt I broke my foot and big toe,but every doctor I went too said it was a turf like injury,then told me to get special shape …

Undetected Gout Not rated yet
I've been to the doctors with tingling foot pain. Red swollen spot. All of the typical symptoms listed on your page. But my Uric Acid level came back normal …

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Gout Questionnaire

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