Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Spinal Pain Score

Please read each question and ask the patient which they feel is the most appropriate number to describe how severe their condition has been in this area. Each question relates to how the patient has felt in the past week. There is no wrong answer.

Patient name:
Date of birth / hospital number:

Please note: The information on this form will not be stored on the Back in Focus website. Once you leave this page the form will clear. If you want to save your results please print the form or save as a PDF

1. How would you describe the overall level of fatigue/tiredness you have experienced?
None
Very severe

2. How would you describe the overall level of AS neck, back or hip pain you have had?
None
Very severe

3. How would you describe the overall level of pain/swelling in joints other than the neck, back or hips?
None
Very severe

4. How would you describe the overall level of discomfort you have had from any tender areas to touch or pressure?
None
Very severe

5. How would you describe the overall level of morning stiffness you have had from the time you wake up?
None
Very severe

6. How long does your morning stiffness last from the time you wake up?
0 hours
2 or more
hours
1 hour

Spinal Pain Score
How would you describe the overall level of pain you have experienced in your spine in the past week?
None
Very severe

BASDAI Score
Spinal Pain Score
Print BASDAI form
Save as PDF
Reset