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Flare Alarm Intake
What is your gout status?
*
I have gout
I am a caregiver
Other
Other
Are you having a gout flare right now?
*
Yes
No
I'm not sure
What joint(s) are involved in the current or most recent gout flare?
Toe
Foot
Ankle
Knee
Hip
Back or Shoulder
Elbow
Hand
Finger
Other
Other
What is the pain level right now?
*
0
0 = no pain - - - - - - - - - 10 = worst pain ever
If you are human, leave this field blank.
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