RAPID-3 Patient Form Clinical Calculator and Pathway

Dress yourself, including tying shoelaces and doing buttons?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Get in and out of bed?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Lift a full cup or glass to your mouth?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Walk outdoors on flat ground?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Wash and dry your entire body?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Bend down to pick up clothing from the floor?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Turn regular faucets on and off?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Get in and out of a car, bus, train, or airplane?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Walk two miles or three kilometers, if you wish?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Participate in recreational activities and sports as you would like, if you wish?

Without Any Difficulty

0

With Some Difficulty

+1

With Much Difficulty

+2

Unable To Do

+3

Get a good night's sleep?

Without Any Difficulty

0

With Some Difficulty

+1.1

With Much Difficulty

+2.2

Unable To Do

+3.3

Deal with feelings of anxiety or being nervous?

Without Any Difficulty

0

With Some Difficulty

+1.1

With Much Difficulty

+2.2

Unable To Do

+3.3

Deal with feelings of depression or feeling blue?

Without Any Difficulty

0

With Some Difficulty

+1.1

With Much Difficulty

+2.2

Unable To Do

+3.3

How much pain have you had because of your illness in the past week? (0 - 10)

0 being no pain
10 being severe pain

Considering ALL THE WAYS THAT YOUR ILLNESS AFFECTS YOU, RATE HOW YOU ARE DOING on the following scale. (0 - 10)

0 being very well.
10 being very poor.

RAPID-3 Patient Form

Questionanaire given to patients to rate their physical function and pain.

We are interested in learning how your illness affects your ability to function in daily life. Which best describes your usual abilities OVER THE PAST WEEK:

Interpretation