Aim: A pan-European survey was conducted to assess the impact of impaired morning function on patients with rheumatoid arthritis. Materials & methods: Patients aged 18–65 years with rheumatoid arthritis for ≥6 months and impaired morning function arising from joint stiffness and pain ≥three-times a week were interviewed using a structured questionnaire. Responses were assessed in the total sample and in subgroups defined by severity of morning stiffness. Results: Of the 608 respondents, only approximately a third could perform, unimpaired, morning tasks requiring mobility, with impairment increasing with severity of morning stiffness (p < 0.05). Impaired morning function affected quality of life in 84% of respondents (severe morning stiffness: 98 vs mild: 56%; p < 0.05). Impaired morning function affected the jobs of 74% of the 271 employed respondents (severe morning stiffness: 79 vs mild: 50%; p < 0.05). Conclusion: Impaired morning function adversely affects daily activities, quality of life and work, ...