| Take care of basic needs, such as bathing, washing, getting dressed, or taking care of personal hygiene |
x |
x |
| Walk or get around inside your home |
x |
x |
| Walk outside, just to get around, in the area around your home or other places you need to go on a regular basis |
x |
x |
| Get around your community by car or public transportation |
x |
x |
| Go to appointments such as going to the doctor or dentist or going to have your hair cut/done |
x |
|
| Sleep |
x |
x |
| Eating/chewing |
|
|
| Preparing meals and cooking |
x |
x |
| Light housework such as dusting or laundry |
x |
x |
| Heavier housework such as vacuuming, changing sheets, or cleaning floors |
x |
x |
| Other work around the house such as making minor home repairs or working in the garage fixing things |
x |
x |
| Shop and do errands |
x |
x |
| Take care of your children/ grandchildren |
x |
x |
| Taking care of other family members such as your spouse or parent or other people close to you |
x |
x |
| Working at a job for pay |
x |
x |
| Taking care of household business such as paying bills or scheduling repairs |
x |
x |
| Gardening or working in your yard |
x |
x |
| Participating in activities with your children/grandchildren |
x |
|
| Visiting with friends or family members in their homes |
x |
x |
| Having friends and family members visit you in your home |
x |
x |
| Participating in leisure activities outside your home, such as playing cards or bingo or going to movies/restaurants |
x |
x |
| Participating in leisure activities in your home, such as reading, watching television, or listening to music |
x |
x |
| Going to parties, celebrations, or other social events |
x |
x |
| Participate in physical recreational activities, such as walking for exercise, playing golf, bicycling, swimming or water aerobics |
Participate in moderate physical recreational activities such as dancing, playing golf, or bowling |
x |
|
Participate in vigorous physical recreational activities such as walking for exercise, jogging, bicycling, swimming, or water aerobics |
x |
|
Do things outdoors or in the sun |
|
| Working on hobbies or crafts, or creative activities, such as sewing, woodwork, or painting |
x |
x |
| Traveling out of town |
x |
x |
| Participate in religious or spiritual activities |
x |
x |
| Doing volunteer work |
x |
x |
| Take care of social communications, such as writing letters, sending emails, or making telephone calls |
x |
|
| Intimate relations |
x |
x |
| Having and taking care of a pet |
x |
|
| Meeting new people |
|
|
| Going to school or participating in other educational activities, like taking computer classes or adult education |
x |
|
|
|
Talk either on the phone or in person |
