During the Exam Be honest — do not exaggerate or minimize your symptoms Describe your worst days, not just how you feel right now If something hurts during a range-of-motion test, say so Mention all functional limitations: sleep, work, chores, driving, social activities Report flare-ups: how often, how long, how severe, and what triggers them Do not say "I'm fine" out of habit — describe your actual condition Describe arm or substernal pain (this is a key criterion for higher ratings) Report any material weight loss due to GERD Mention nausea, vomiting, regurgitation frequency If GERD is secondary to another condition (PTSD, sleep apnea), explain the connection Describe how symptoms affect sleep, eating, and daily activities