U.S Health Interview Survey: Arthritis Supplement
Serial No. ____
Name of sample person ____
Person No. ____
Name of interviewer ____
b. Please look at this picture of a hand. (HAND CARD D TO RESPONDENT). Tell me what colors on this card match the joints of your RIGHT hand that are bothered or affected by arthritis.
 2 blue
 3 yellow
 4 gray
d. Are you right-handed or left-handed?
b. What kind of remedies or medicines did you use? (Enter name or description of remedies or medicines in column (a) of Table II below).
[upto 7 remedies entries in the original document not presented here. With each entry 2 sets of questions are asked- b and c]
b. Could you tell me why you aren't presently seeing anyone for your arthritis?
2 No one can do anything for it (23)
 Other (Record response verbatim) ________ (23)
c. Who are you seeing? ________ [Check all categories in Table III that apply. Then ask the appropriate questions for each category marked]
d. Are you now seeing anyone else for your arthritis? ________ [Check all categories in Table III that apply. Then ask the appropriate questions for each category marked]
Type of person
 Medical doctor
 Other (Specify) ____
[Upto there sets of entries [One set includes: Questions 1-7] in the original document not presented here. 2 entries for medical doctor and 1 entry for "other"].
[Question 3 is asked for 2 medical doctor entries and not for "Other" entry in Type of person above]
3a. Is the doctor a general practitioner or a specialist?
b. What kind of specialist is he? ________