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Ankylosing Spondylitis Diagnosis Quiz

Ankylosing Spondylitis Diagnosis Quiz - FreudlyTake a free ankylosing spondylitis diagnosis quiz to find out if you may be experiencing symptoms. Quick, not a diagnosis, consult a specialist. Start now.en
In 10 minutes, the Ankylosing Spondylitis Diagnosis Quiz guides you through 15 questions about back-pain patterns, movement, associated inflammatory features, and family history. Your result highlights patterns worth discussing with a healthcare professional, helping you organise symptoms and prepare for a more focused conversation about your health.
Questions: 1510 minutes
Ankylosing Spondylitis Diagnosis Quiz: situation and reply bubbles
July 22, 2026July 22, 2026Material has been updatedJuly 22, 2026Material has been published
7,268 views
707 completions
603 likes
Daniel HallPsychologist · Test reviewer
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Scale Explorer

How the Scales are Structured

Associated Inflammatory FeaturesAIF
Measures how many non-spinal inflammatory features and relevant family history indicators were endorsed alongside back-pain symptoms.
example score5/15
5/15Assessment warrantedexample score
0No associated indicators
1 – 2Some context
3 – 15Assessment warranted
A score of 5 falls in the “Assessment warranted” range, indicating multiple associated inflammatory features were endorsed and may be useful to note in a clinical discussion.
Axial Movement and Daily FunctionAMaDF
Assesses self-reported limits in spinal/axial movement and how these changes affect daily function.
example score9/15
9/15Assessment warrantedexample score
0No changes endorsed
1 – 2Some change
3 – 15Assessment warranted
A score of 9 falls in the “Assessment warranted” range, indicating multiple endorsed movement or function changes that may merit clinical discussion.
Inflammatory Back-Pain PatternIBPP
Measures how strongly your responses match common inflammatory back-pain patterns linked to ankylosing spondylitis screening features.
example score7/15
7/15Assessment warrantedexample score
0No indicators endorsed
1 – 2Some signal
3 – 15Assessment warranted
A score of 7 falls in the “Assessment warranted” range, meaning your answers matched several inflammatory-pattern indicators, though this is not diagnostic.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Chronic back pain seekers
46%OF USERS
People with ongoing lower back or buttock pain and stiffness—especially worse in the morning or after rest—who want to see if the pattern sounds inflammatory rather than mechanical.
Young adults with stiffness
33%OF USERS
Adults in their teens to 40s noticing reduced flexibility, pain that improves with movement, or symptoms that keep returning and want a clearer picture before seeing a clinician.
Those with related symptoms
21%OF USERS
People with back pain plus features like heel pain, alternating hip pain, digestive inflammation, psoriasis, or episodes of a painful red eye who wonder if these could be connected.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Associated Inflammatory FeaturesAIF
You?
Average7.7
Typical rangeTypical5.2 – 10.1
Possible0 – 15
Axial Movement and Daily FunctionAMaDF
You?
Average4
Typical rangeTypical1.7 – 6.3
Possible0 – 15
Inflammatory Back-Pain PatternIBP
You?
Average10.3
Typical rangeTypical8.4 – 12.2
Possible0 – 15
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SAMPLE QUESTIONS

Example Questions From the Test

    • I have no known psoriasis or recurring unexplained skin or nail changes.
    • I occasionally notice an unexplained flaky patch or mild nail pitting.
    • Recurring skin or nail changes have led a clinician to suspect psoriasis.
    • A qualified healthcare professional has diagnosed me with psoriasis.
    • I do not have recurring unexplained diarrhea, abdominal pain, or blood in my stool.
    • I have had brief digestive episodes with a likely temporary cause that resolved.
    • I experience recurring unexplained diarrhea or abdominal pain that has not been fully assessed.
    • I have diagnosed Crohn's disease or ulcerative colitis, or I currently have persistent bloody diarrhea.
    • I straighten normally without lingering stiffness.
    • I am briefly stiff after staying in one position for a long time.
    • I often need several movements or stretches before I can straighten comfortably.
    • I regularly cannot straighten fully or have noticed a persistent stooped posture.
WHAT THE TEST MEASURES

Ankylosing Spondylitis Diagnosis Quiz - Description and methodology of the test

People trying to understand recurring lower-back or buttock symptoms can use this ankylosing spondylitis diagnosis quiz to consider whether their pattern merits medical discussion. It is intended for anyone noticing stiffness, restricted movement, night symptoms, or related inflammatory features. This ankylosing spondylitis pain quiz summarises the symptom patterns reflected in the answers.

What This Assessment Explores

The questions examine patterns of back or buttock pain, stiffness, restricted movement, night disturbance, and gradual onset, while also checking psoriasis, bowel inflammation, eye symptoms, tendon-attachment pain, and family history. They connect symptoms with practical effects such as bending, breathing, turning, walking, sleep, and work.

When completing this ankylosing spondylitis symptoms quiz, answer according to your usual pattern and the timeframe specified in each question, rather than one unusually good or bad day. The result shows three reflective dimensions:

  • Associated Inflammatory Features (0-15) shows endorsed related indicators; bands: No associated indicators 0, Some context 1-2, Assessment warranted 3-15.
  • Axial Movement and Daily Function (0-15) shows movement or daily-function changes; bands: No changes endorsed 0, Some change 1-2, Assessment warranted 3-15.
  • Inflammatory Back-Pain Pattern (0-15) shows the timing and behavior of back or buttock symptoms; bands: No indicators endorsed 0, Some signal 1-2, Assessment warranted 3-15.

Methodology and Evidence Base

Each item offers four ordered answer choices, usually moving from no relevant experience through occasional or uncertain experiences to recurring, clinically recognized, or function-limiting patterns. As self-report prompts, they depend on how symptoms are understood and recalled.

Responses are grouped into thematic scales and shown as totals within the three ranges above. The questionnaire does not specify how individual answers contribute to each scale total; its bands are reflective summaries rather than diagnostic or disease-severity cutoffs, and any concerning experience can matter independently of the total.

This ankylosing spondylitis quiz is conceptually consistent with the Hamilton axSpA questionnaire, a validated self-completed screening questionnaire distinguishing inflammatory from mechanical back pain; this online questionnaire is not an adaptation of that instrument. Its inflammatory back-pain themes also correspond with the inflammatory back-pain study by Rudwaleit and colleagues, including morning stiffness, movement response, night waking, and age at onset. The ASAS criteria described by Rudwaleit and colleagues place clinical features alongside imaging and HLA-B27; this questionnaire does not assess imaging findings or HLA-B27 status.

Recall, current context, and self-awareness can influence self-reported results. A painful red eye, light sensitivity, or vision change warrants same-day eye or medical assessment regardless of the total.

Literature:
  • Hamilton L, MacGregor AJ, Newman DW, Belkhiri A, Toms AP, Gaffney K. Validation of a patient self-reported screening questionnaire for axial spondyloarthropathy in a UK population. Spine (Phila Pa 1976). 2013;38(6):502-506. DOI 10.1097/BRS.0b013e318273aa4f
  • Rudwaleit M, Metter A, Listing J, Sieper J, Braun J. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis & Rheumatism. 2006;54(2):569-578. DOI 10.1002/art.21619
  • Rudwaleit M, van der Heijde D, Landewé R, Listing J, Akkoc N, Brandt J, Braun J, Chou CT, Collantes-Estevez E, Dougados M, Huang F, Gu J, Kirazli Y, Maksymowych WP, Mielants H, Sørensen IJ, Ozgocmen S, Roussou E, Valle-Oñate R, Weber U, Wei J, Sieper J. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Annals of the Rheumatic Diseases. 2009;68(6):777-783. DOI 10.1136/ard.2009.108233

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