Table 1.
In the kitchen | |
1. | Can you hold a bowl?† |
2. | Can you grasp a full bottle and raise it?‡ |
3. | Can you hold a plate full of food?‡ |
4. | Can you pour liquid from a bottle into a glass?† |
5. | Can you unscrew the lid from a jar that has been opened before?‡ |
6. | Can you cut meet with a knife?‡ |
7. | Can you prick things well with a fork?† |
8. | Can you peel fruit?† |
Dressing | |
9. | Can you button your shirt?† |
10. | Can you open and close a zipper?† |
Hygiene | |
11. | Can you squeeze a tube of toothpaste?‡ |
12. | Can you hold a toothbrush effectively?‡ |
At the office | |
13. | Can you write a short sentence with an ordinary pen?§ |
14. | Can you write a letter with an ordinary pen?§ |
Other | |
15. | Can you turn a round door knob?‡ |
16. | Can you cut a piece of paper with scissors?§ |
17. | Can you pick up coins from a table top?§ |
18. | Can you turn a key in a lock?‡ |
Answers to the questions: 0 = Yes, without difficulty; 1 = Yes, with a little difficulty; 2 = Yes, with some difficulty; 3 = Yes, with much difficulty; 4 = Nearly impossible to do; 5 = Impossible to do
†Question in factor 2
‡Question in factor 1
§Question in factor 3 after factor analysis