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.

* 1. How often do you walk outside your home or apartment without using a cane or other mobility aid:

* 2. How far can you walk comfortably, without pain, on a flat surface without using a cane or other mobility aid before you experience pain or need to pause for rest:

* 3. How long can you walk comfortably, without pain, on a flat surface without using a cane or other mobility aid and without stopping to rest or catch your breath:

* 4. How long can you stand without support without experiencing pain or discomfort:

* 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

* 7. If you have to walk further than a “comfortable” distance, what are the usual consequences for you (please tick all that apply):

* 8. If you are in severe pain or having trouble breathing and you sit down to rest, how long does it usually take for you to feel that you can comfortably begin walking again:

* 9. Which types of activities are problematic because of your difficulty with walking and/or standing (please tick all that apply):

* 10. Imagine yourself in a large shopping mall, needing to walk to a store at least a block away without using a cane or other mobility aid. Imagine that there are benches for sitting and resting every 35 feet. How would you use the benches:

* 11. In approaching a building if you have a choice between walking up 12 steps or walking up a switchback ramp that is about 70 feet (2 school buses) long, would you:

* 12. When you are walking and need to slow down or stop in order to manage pain or breathing difficulties, which of the following is the most common reaction have you experienced from other people:

* 13. How often do you use a cane in public:

* 14. How often do you use a wheelchair or motorized scooter in public:

* 15. How often do you use a walker (with a seat) in public:

* 16. How often do you take common anti-inflammatory medication (e.g., Advil, Ibuprofen) to help manage pain:

* 17. What health condition is primarily responsible for your having difficulty walking more than short distances without using a cane or other mobility aid:

* 18. How old are you?

* 19. What is your gender?

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

 
100% of survey complete.

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