Table 1.

Neuro-QOL – Upper Extremity Function- Fine Motor, ADL

In the past 7 days...	5 – No difficulty	4 - With a little difficulty	3 - With some difficulty	2 - With much difficulty	1 - Unable to do
1. Are you able to turn a key in a lock?
2. Are you able to brush your teeth?
3. Are you able to make a phone call using a touch tone key-pad?
4. Are you able to pick up coins from a table top?
5. Are you able to write with a pen or pencil?
6. Are you able to open and close a zipper?
7. Are you able to wash and dry your body?
8. Are you able to shampoo your hair?
9. Are you able to open previously opened jars?
10. Are you able to hold a plate full of food?
11. Are you able to pull on trousers?
12. Are you able to button your shirt?
13. Are you able to trim your fingernails?
14. Are you able to cut your toe nails?
15. Are you able to bend down and pick up clothing from the floor?
In the past 7 days...	5 - No difficulty	4 - A little difficulty	3 - Some difficulty	2 - A lot of difficulty	1 - Can't do
16. How much DIFFICULTY do you currently have using a spoon to eat a meal?
17. How much DIFFICULTY do you currently have putting on a pullover shirt?
18. How much DIFFICULTY do you currently have taking off a pullover shirt?
19. How much DIFFICULTY do you currently have removing wrappings from small objects?
20. How much DIFFICULTY do you currently have opening medications or vitamin containers (e.g., childproof containers, small bottles)?

Neuro-QoL: Quality of Life in Neurologic Disorder – Item Bank v1.0 (Upper Extremity Function – Fine Motor, ADL); Neuro-QoL physical function: 14 questions (1,2,4-15; Neuro-QoL upper extremity: 6 questions (3, 16–20. T score calculated using www.Neuroqol.org computer adaptive test (CAT) [50 = norm, 0 = worst, 100 = best].