Any of your usual work, housework, or school activities.
Any of your usual work, housework, or school activities. 0 Extreme Difficulty or Unable to Perform Activity
Any of your usual work, housework, or school activities. 1 Quite a Bit of Difficulty
Any of your usual work, housework, or school activities. 2 Moderate Difficulty
Any of your usual work, housework, or school activities. 3 A Little Bit of Difficulty
Any of your usual work, housework, or school activities. 4 No Difficulty
Your usual hobbies, re creational or sporting activities.
Your usual hobbies, re creational or sporting activities. 0 Extreme Difficulty or Unable to Perform Activity
Your usual hobbies, re creational or sporting activities. 1 Quite a Bit of Difficulty
Your usual hobbies, re creational or sporting activities. 2 Moderate Difficulty
Your usual hobbies, re creational or sporting activities. 3 A Little Bit of Difficulty
Your usual hobbies, re creational or sporting activities. 4 No Difficulty
Getting into or out of the bath.
Getting into or out of the bath. 0 Extreme Difficulty or Unable to Perform Activity
Getting into or out of the bath. 1 Quite a Bit of Difficulty
Getting into or out of the bath. 2 Moderate Difficulty
Getting into or out of the bath. 3 A Little Bit of Difficulty
Getting into or out of the bath. 4 No Difficulty
Walking between rooms.
Walking between rooms. 0 Extreme Difficulty or Unable to Perform Activity
Walking between rooms. 1 Quite a Bit of Difficulty
Walking between rooms. 2 Moderate Difficulty
Walking between rooms. 3 A Little Bit of Difficulty
Walking between rooms. 4 No Difficulty
Putting on your shoes or socks.
Putting on your shoes or socks. 0 Extreme Difficulty or Unable to Perform Activity
Putting on your shoes or socks. 1 Quite a Bit of Difficulty
Putting on your shoes or socks. 2 Moderate Difficulty
Putting on your shoes or socks. 3 A Little Bit of Difficulty
Putting on your shoes or socks. 4 No Difficulty
Squatting.
Squatting. 0 Extreme Difficulty or Unable to Perform Activity
Squatting. 1 Quite a Bit of Difficulty
Squatting. 2 Moderate Difficulty
Squatting. 3 A Little Bit of Difficulty
Squatting. 4 No Difficulty
Lifting an object, like a bag of groceries from the floor.
Lifting an object, like a bag of groceries from the floor. 0 Extreme Difficulty or Unable to Perform Activity
Lifting an object, like a bag of groceries from the floor. 1 Quite a Bit of Difficulty
Lifting an object, like a bag of groceries from the floor. 2 Moderate Difficulty
Lifting an object, like a bag of groceries from the floor. 3 A Little Bit of Difficulty
Lifting an object, like a bag of groceries from the floor. 4 No Difficulty
Performing light activities around your home.
Performing light activities around your home. 0 Extreme Difficulty or Unable to Perform Activity
Performing light activities around your home. 1 Quite a Bit of Difficulty
Performing light activities around your home. 2 Moderate Difficulty
Performing light activities around your home. 3 A Little Bit of Difficulty
Performing light activities around your home. 4 No Difficulty
Performing heavy activities around your home.
Performing heavy activities around your home. 0 Extreme Difficulty or Unable to Perform Activity
Performing heavy activities around your home. 1 Quite a Bit of Difficulty
Performing heavy activities around your home. 2 Moderate Difficulty
Performing heavy activities around your home. 3 A Little Bit of Difficulty
Performing heavy activities around your home. 4 No Difficulty
Getting into or out of a car.
Getting into or out of a car. 0 Extreme Difficulty or Unable to Perform Activity
Getting into or out of a car. 1 Quite a Bit of Difficulty
Getting into or out of a car. 2 Moderate Difficulty
Getting into or out of a car. 3 A Little Bit of Difficulty
Getting into or out of a car. 4 No Difficulty
Walking 2 blocks.
Walking 2 blocks. 0 Extreme Difficulty or Unable to Perform Activity
Walking 2 blocks. 1 Quite a Bit of Difficulty
Walking 2 blocks. 2 Moderate Difficulty
Walking 2 blocks. 3 A Little Bit of Difficulty
Walking 2 blocks. 4 No Difficulty
Walking a mile.
Walking a mile. 0 Extreme Difficulty or Unable to Perform Activity
Walking a mile. 1 Quite a Bit of Difficulty
Walking a mile. 2 Moderate Difficulty
Walking a mile. 3 A Little Bit of Difficulty
Walking a mile. 4 No Difficulty
Going up or down 10 stairs (about 1 flight of stairs).
Going up or down 10 stairs (about 1 flight of stairs). 0 Extreme Difficulty or Unable to Perform Activity
Going up or down 10 stairs (about 1 flight of stairs). 1 Quite a Bit of Difficulty
Going up or down 10 stairs (about 1 flight of stairs). 2 Moderate Difficulty
Going up or down 10 stairs (about 1 flight of stairs). 3 A Little Bit of Difficulty
Going up or down 10 stairs (about 1 flight of stairs). 4 No Difficulty
Standing for 1 hour.
Standing for 1 hour. 0 Extreme Difficulty or Unable to Perform Activity
Standing for 1 hour. 1 Quite a Bit of Difficulty
Standing for 1 hour. 2 Moderate Difficulty
Standing for 1 hour. 3 A Little Bit of Difficulty
Standing for 1 hour. 4 No Difficulty
Sitting for 1 hour.
Sitting for 1 hour. 0 Extreme Difficulty or Unable to Perform Activity
Sitting for 1 hour. 1 Quite a Bit of Difficulty
Sitting for 1 hour. 2 Moderate Difficulty
Sitting for 1 hour. 3 A Little Bit of Difficulty
Sitting for 1 hour. 4 No Difficulty
Running on even ground.
Running on even ground. 0 Extreme Difficulty or Unable to Perform Activity
Running on even ground. 1 Quite a Bit of Difficulty
Running on even ground. 2 Moderate Difficulty
Running on even ground. 3 A Little Bit of Difficulty
Running on even ground. 4 No Difficulty
Running on uneven ground.
Running on uneven ground. 0 Extreme Difficulty or Unable to Perform Activity
Running on uneven ground. 1 Quite a Bit of Difficulty
Running on uneven ground. 2 Moderate Difficulty
Running on uneven ground. 3 A Little Bit of Difficulty
Running on uneven ground. 4 No Difficulty
Making sharp turns while running fast.
Making sharp turns while running fast. 0 Extreme Difficulty or Unable to Perform Activity
Making sharp turns while running fast. 1 Quite a Bit of Difficulty
Making sharp turns while running fast. 2 Moderate Difficulty
Making sharp turns while running fast. 3 A Little Bit of Difficulty
Making sharp turns while running fast. 4 No Difficulty
Hopping.
Hopping. 0 Extreme Difficulty or Unable to Perform Activity
Hopping. 1 Quite a Bit of Difficulty
Hopping. 2 Moderate Difficulty
Hopping. 3 A Little Bit of Difficulty
Hopping. 4 No Difficulty
Rolling over in bed.
Rolling over in bed. 0 Extreme Difficulty or Unable to Perform Activity
Rolling over in bed. 1 Quite a Bit of Difficulty
Rolling over in bed. 2 Moderate Difficulty
Rolling over in bed. 3 A Little Bit of Difficulty
Rolling over in bed. 4 No Difficulty