Mobility (MO)
|
0 if No problems with walking about (level 1)
|
1 if Some problems with walking about (level 2)
|
2 if Confined to bed (level 3)
|
Self-care (SC)
|
0 if No problems with self-care (level 1)
|
1 if Some problems washing or dressing self (level 2)
|
2 if Unable to wash or dress self (level 3)
|
Usual activities (UA)
|
0 if No problems with performing usual activities (e.g. work, study, housework, family or leisure activities) (level 1)
|
1 if Some problems with performing usual activities (level 2)
|
2 if Unable to perform usual activities (level 3)
|
Pain/discomfort (PD)
|
0 if No pain or discomfort (level 1)
|
1 if Moderate pain or discomfort (level 2)
|
2 if Extreme pain or discomfort (level 3)
|
Anxiety/depression (AD)
|
0 if Not anxious or depressed (level 1)
|
1 if Moderately anxious or depressed (level 2)
|
2 if Extremely anxious or depressed (level 3)
|
Any dimensions at level 3 (N3) |
1 if any dimension is at level 3
|
0 otherwise |