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Please note that completing either form below will not register you for the Creaky Board. In creating a separate sign up for the forum area, we decided that it would give you more freedom in selecting your own forum username (not necessarily based on your real name or e-mail address) and also afford you more control over the kind information you choose to give out in our forum area. (Click here to see a sample profile.)

Newsletter Only Signup:
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Full Member Registration:
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Zip or Postal Code:

Province: (Outside of USA/Canada)
Country: (Outside of USA/Canada)

Email Address: (user@domain.com format)
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Gender:	Male Female

What kind(s) of arthritis do you have? (If you don't have arthritis, skip this and the next three questions.) Spondylarthropathies includes ankylosing spondylitis, psoriatic arthritis, and Reiter's syndrome.	Yes, (don't know type) Yes, osteoarthritis Yes, fibromyalgia Yes, rheumatoid arthritis Yes, gout Yes, spondylarthropathies Yes, juvenile arthritis Yes, juvenile rheumatoid arthritis (JRA) Yes, lupus

When was your arthritis diagnosed by a doctor?	Never formally diagnosed Within the past year 1 to 2 years ago 3 to 5 years ago 6 to 10 years ago 11 to 15 years ago 16 to 20 years ago Over 20 years ago

Besides yourself, does anyone in your family have arthritis?	Yes No

Who knows you have arthritis?	co-workers close relatives distant relatives girlfriend/boyfriend

Do any of your friends have arthritis?	Yes No

From time to time, CreakyJoints partner companies request our user lists, sometimes based on your reported age, gender, or arthritic condition. If you give us your permission, we will give your name and address to companies offering products and services you are interested in. Tell us which kinds of the following companies you'd be interested in receiving special offers from:
Athletic and sports Apparel Automotive Books Computers Credit cards Electronics Food	Insurance Long-distance phone companies Music Office supplies Over-the-counter medications Prescription drugs Travel

How did you first come across CreakyJoints?	(e.g. friend, Dr. <name>, <newspaper name>, <website name>)?

What drugs do you take?

Did answering these questions make your fingers ache?	Yes No