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LATE-LIFE FUNCTION -BASIC LOWER EXTREMITY ITEMS: 14 ITEMS - F2, F10, F11, F12, F14, F15, F18, F21, F22, F23, F25, F26, F28, F31 |
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LATE-LIFE FUNCTION -ADVANCED LOWER ITEMS: 11 ITEMS - F4, F7, F8, F9, F19, F20, F24, F27, F29, F30, F32 |
F1 |
HOW MUCH DIFFICULTY DO YOU HAVE… UNSCREWING THE LID OFF A PREVIOUSLY UNOPENED JAR WITHOUT USING ANY DEVICES |
F2 |
HOW MUCH DIFFICULTY DO YOU HAVE… GOING UP AND DOWN A FLIGHT OF STAIRS INSIDE, USING A HANDRAIL |
F3 |
HOW MUCH DIFFICULTY DO YOU HAVE… PUTTING ON AND TAKING OFF LONG PANTS (INCLUDING MANAGING FASTENERS) |
F4 |
HOW MUCH DIFFICULTY DO YOU HAVE… RUNNING 1/2 MILE OR MORE |
F5 |
HOW MUCH DIFFICULTY DO YOU HAVE… USING COMMON UNTENSILS FOR PREPARING MEALS (CAN OPENER, POTATO PEELER, OR SHARP KNIFE) |
F6 |
HOW MUCH DIFFICULTY DO YOU HAVE…HOLDING A FULL GLASS OF WATER IN ONE HAND |
F7 |
HOW MUCH DIFFICULTY DO YOU HAVE… WALKING A MILE, TAKING RESTS AS NECESSARY |
F8 |
HOW MUCH DIFFICULTY DO YOU HAVE… GOING UP AND DOWN A FLIGHT OF STAIRS OUTSIDE, WITHOUT USING A HANDRAIL |
F9 |
HOW MUCH DIFFICULTY DO YOU HAVE… RUNNING A SHORT DISTANCE, SUCH AS TO CATCH A BUS |
F10 |
HOW MUCH DIFFICULTY DO YOU HAVE… REACHING OVERHEAD WHILE STANDING, AS IF TO PULL A LIGHT CORD |
F11 |
HOW MUCH DIFFICULTY DO YOU HAVE…SITTING DOWN IN AND STANDING UP FROM A LOW, SOFT COUCH |
F12 |
HOW MUCH DIFFICULTY DO YOU HAVE… PUTTING ON AND TAKING OFF A COAT OR JACKET |
F13 |
HOW MUCH DIFFICULTY DO YOU HAVE…REACHING BEHIND YOUR BACK AS IF TO PUT A BELT THROUGH A BELT LOOP |
F14 |
HOW MUCH DIFFICULTY DO YOU HAVE… STEPPING UP AND DOWN FROM A CURB |
F15 |
HOW MUCH DIFFICULTY DO YOU HAVE… OPENING A HEAVY, OUTSIDE DOOR |
F16 |
HOW MUCH DIFFICULTY DO YOU HAVE…RIP OPEN A PACKAGE OF SNACK FOOD (E.G. CELLOPHANE WRAPPING ON CRACKERS) USING ONLY YOUR HANDS |
F17 |
HOW MUCH DIFFICULTY DO YOU HAVE… POURING FROM A LARGE PITCHER |
F18 |
HOW MUCH DIFFICULTY DO YOU HAVE… GETTING INTO AND OUT OF A CAR/TAXI (SEDAN) |
F19 |
HOW MUCH DIFFICULTY DO YOU HAVE… HIKING A COUPLE OF MILES ON UNEVEN SURFACES, INCLUDING HILLS |
F20 |
HOW MUCH DIFFICULTY DO YOU HAVE… GOING UP AND DOWN 3 FLIGHTS OF STAIRS INSIDE, USING A HANDRAIL |
F21 |
HOW MUCH DIFFICULTY DO YOU HAVE… PICKING UP A KITCHEN CHAIR AND MOVING IT, IN ORDER TO CLEAN |
F22 |
HOW MUCH DIFFICULTY DO YOU HAVE… USING A STEP STOOL TO REACH INTO A HIGH CABINET |
F23 |
HOW MUCH DIFFICULTY DO YOU HAVE… MAKING A BED, INCLUDING SPREADING AND TUCKING IN BED SHEETS |
F24 |
HOW MUCH DIFFICULTY DO YOU HAVE… CARRYING SOMETHING IN BOTH ARMS WHILE CLIMBING A FLIGHT OF STAIRS (E.G. LAUNDRY BASKET) |
F25 |
HOW MUCH DIFFICULTY DO YOU HAVE… BENDING OVER FROM A STANDING POSITION TO PICK UP A PIECE OF CLOTHING FROM THE FLOOR |
F26 |
HOW MUCH DIFFICULTY DO YOU HAVE… WALKING AROUND ONE FLOOR OF YOUR HOME, TAKING INTO CONSIDERATION THRESHOLDS, DOORS, FURNITURE, AND A VARIETY OF FLOOR COVERINGS |
F27 |
HOW MUCH DIFFICULTY DO YOU HAVE… GETTING UP FROM THE FLOOR (AS IF YOU WERE LAYING ON THE GROUND) |
F28 |
HOW MUCH DIFFICULTY DO YOU HAVE… WASHING DISHES, POTS, AND UTENSILS BY HAND WHILE STANDING AT SINK |
F29 |
HOW MUCH DIFFICULTY DO YOU HAVE…WALKING SEVERAL BLOCKS |
F30 |
HOW MUCH DIFFICULTY DO YOU HAVE… TAKING A 1 MILE, BRISK WALK WITHOUT STOPPING TO REST |
F31 |
HOW MUCH DIFFICULTY DO YOU HAVE… STEPPING ON AND OFF A BUS |
F32 |
HOW MUCH DIFFICULTY DO YOU HAVE… WALKING ON A SLIPPERY SURFACE OUTDOORS |