BASFI
Bath Ankylosing Spondylitis
Functional Index (BASFI)

Copyright 2005
basdai.com

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If you have been diagnosed
with Ankylosing Spondylitis



B
ASFI TEST.

The Bath Ankylosing Spondylitis Functional Index (BASFI)

Medication
If you are currently taking medication for your AS, please give the name(s) and dose that is on the bottle/packet.

(1 is not effective, 10 is very effective)


Difficulty on a ten point scale (1 is easy and 10 is impossible)
Please indicate your level of ability with each of the following activities during the past week.
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 
Easy Impossible
  1 2 3 4 5 6 7 8 9 10

 


BASFI Score
Result:


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Print this page and take it to your Rheumatologist.

(Calin et al, J. Rheumatol 1994;21:2281-85)

View BASFI printable document (pdf )

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