### Definition: Hidden mobility disability means being able to walk unaided but only a short distance without health consequences.There are 21 questions, and your answers are confidential.To help you gauge the distances involved, picture a regular school bus. It is 35 feet long.

#### * 5. How much difficulty do each of the following create for you in walking without using a cane or other mobility aid and without stopping to rest:

None Some A lot I can’t do this at all
Walking on a flat surface for 15 minutes
Walking up a slope
Walking on uneven ground
Walking on unstable/shifting ground
Walking more than 35 feet
Walking up or down 12 stairs
Having to stand for 15 or more minutes

#### * 6. How often do each of the following limit your daily activities if you are not using a cane or other mobility aid:

Never Rarely Sometimes Often Always
Walking on a flat surface for 15 minutes
Walking up a slope
Walking on uneven ground
Walking on unstable/shifting ground
Walking more than 35 feet
Walking up or down 12 stairs
Having to stand for 15 or more minutes

#### * 21. In what province or state do you live?

 100% of survey complete.

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