Table 5.
PROMIS v1.2 Physical Function item bank
| Item | ID | Questions |
|---|---|---|
| 1 | PFA10 | Are you able to stand for one hour?a |
| 2 | PFA11 | Are you able to do chores such as vacuuming or yard work? |
| 3 | PFA12 | Are you able to push open a heavy door? |
| 4 | PFA13 | Are you able to exercise for an hour? |
| 5 | PFA14r1 | Are you able to carry a heavy object (over 10 pounds/ 5 kg)? |
| 6 | PFA15 | Are you able to stand up from an armless straight chair? |
| 7 | PFA16r1 | Are you able to dress yourself, including tying shoelaces and buttoning up your clothes? |
| 8 | PFA17 | Are you able to reach into a high cupboard? |
| 9 | PFA18 | Are you able to use a hammer to pound a nail? |
| 10 | PFA19r1 | Are you able to run or jog for two miles (3 km)? |
| 11 | PFA20 | Are you able to cut your food using eating utensils? |
| 12 | PFA21 | Are you able to go up and down stairs at a normal pace? |
| 13 | PFA22 | Are you able to open previously opened jars? |
| 14 | PFA23 | Are you able to go for a walk of at least 15 min? |
| 15 | PFA25 | Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower? |
| 16 | PFA28 | Are you able to open a can with a hand can opener? |
| 17 | PFA29r1 | Are you able to pull heavy objects (10 pounds/5 kg) towards yourself? |
| 18 | PFA30 | Are you able to step up and down curbs? |
| 19 | PFA31r1 | Are you able to get up from the floor from lying on your back without help? |
| 20 | PFA32 | Are you able to stand with your knees straight? |
| 21 | PFA33 | Are you able to exercise hard for half an hour? |
| 22 | PFA34 | Are you able to wash your back? |
| 23 | PFA35 | Are you able to open and close a zipper? |
| 24 | PFA36 | Are you able to put on and take off a coat or jacket? |
| 25 | PFA37 | Are you able to stand for short periods of time? |
| 26 | PFA38 | Are you able to dry your back with a towel? |
| 27 | PFA39r1 | Are you able to run at a fast pace for two miles (3 km)? |
| 28 | PFA40 | Are you able to turn a key in a lock? |
| 29 | PFA41 | Are you able to squat and get up? |
| 30 | PFA42 | Are you able to carry a laundry basket up a flight of stairs? |
| 31 | PFA43 | Are you able to write with a pen or pencil? |
| 32 | PFA44 | Are you able to put on a shirt or blouse? |
| 33 | PFA45 | Are you able to get out of bed into a chair? |
| 34 | PFA47 | Are you able to pull on trousers? |
| 35 | PFA48 | Are you able to peel fruit? |
| 36 | PFA49 | Are you able to bend or twist your back? |
| 37 | PFA50 | Are you able to brush your teeth? |
| 38 | PFA51 | Are you able to sit on the edge of a bed? |
| 39 | PFA52 | Are you able to tie your shoelaces? |
| 40 | PFA53 | Are you able to run errands and shop? |
| 41 | PFA54 | Are you able to button your shirt? |
| 42 | PFA55 | Are you able to wash and dry your body? |
| 43 | PFA56 | Are you able to get in and out of a car? |
| 44 | PFA8 | Are you able to move a chair from one room to another? |
| 45 | PFA9 | Are you able to bend down and pick up clothing from the floor? |
| 46 | PFB10 | Are you able to climb up five steps? |
| 47 | PFB11 | Are you able to wash dishes, pots, and utensils by hand while standing at a sink? |
| 48 | PFB12 | Are you able to make a bed, including spreading and tucking in bed sheets? |
| 49 | PFB13 | Are you able to carry a shopping bag or briefcase? |
| 50 | PFB14 | Are you able to take a tub bath? |
| 51 | PFB15 | Are you able to change the bulb in a table lamp? |
| 52 | PFB16 | Are you able to press with your index finger (for example ringing a doorbell)? |
| 53 | PFB17 | Are you able to put on and take off your socks? |
| 54 | PFB18 | Are you able to shave your face or apply makeup? |
| 55 | PFB19 | Are you able to squeeze a new tube of toothpaste? |
| 56 | PFB20 | Are you able to cut a piece of paper with scissors? |
| 57 | PFB21 | Are you able to pick up coins from a table top? |
| 58 | PFB22 | Are you able to hold a plate full of food? |
| 59 | PFB23 | Are you able to pour liquid from a bottle into a glass? |
| 60 | PFB24 | Are you able to run a short distance, such as to catch a bus? |
| 61 | PFB25 | Are you able to push open a door after turning the knob? |
| 62 | PFB26 | Are you able to shampoo your hair? |
| 63 | PFB27 | Are you able to tie a knot or a bow? |
| 64 | PFB28r1 | Are you able to lift 10 pounds (5 kg) above your shoulder? |
| 65 | PFB29 | Are you able to lift a full cup or glass to your mouth? |
| 66 | PFB30 | Are you able to open a new milk carton? |
| 67 | PFB31 | Are you able to open car doors? |
| 68 | PFB32 | Are you able to stand unsupported for 10 min? |
| 69 | PFB33 | Are you able to remove something from your back pocket? |
| 70 | PFB34 | Are you able to change a light bulb overhead? |
| 71 | PFB36 | Are you able to put on a pullover sweater? |
| 72 | PFB37 | Are you able to turn faucets on and off? |
| 73 | PFB39r1 | Are you able to reach and get down a 5 pound (2 kg) object from above your head? |
| 74 | PFB40 | Are you able to stand up on tiptoes? |
| 75 | PFB41 | Are you able to trim your fingernails? |
| 76 | PFB42 | Are you able to stand unsupported for 30 min? |
| 77 | PFB56r1 | Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow? |
| 78 | PFB8r1 | Are you able to carry two bags filled with groceries 100 yards (100 m)? |
| 79 | PFB9 | Are you able to jump up and down? |
| 80 | PFC13r1 | Are you able to run 100 yards (100 m)? |
| 81 | PFC29 | Are you able to walk up and down two steps? |
| 82 | PFC31 | Are you able to reach into a low cupboard? |
| 83 | PFC32 | Are you able to climb up 5 flights of stairs? |
| 84 | PFC33r1 | Are you able to run ten miles (16 km)? |
| 85 | PFC38 | Are you able to walk at a normal speed? |
| 86 | PFC39 | Are you able to stand without losing your balance for several minutes? |
| 87 | PFC40 | Are you able to kneel on the floor? |
| 88 | PFC41 | Are you able to sit down in and stand up from a low, soft couch? |
| 89 | PFC43 | Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing? |
| 90 | PFC45r1 | Are you able to sit on and get up from the toilet? |
| 91 | PFC46 | Are you able to transfer from a bed to a chair and back? |
| 92 | PFC47 | Are you able to be out of bed most of the day? |
| 93 | PFC49 | Are you able to water a house plant? |
| 94 | PFC51 | Are you able to wipe yourself after using the toilet? |
| 95 | PFC52 | Are you able to turn from side to side in bed? |
| 96 | PFC53 | Are you able to get in and out of bed? |
| 97 | PFC6r1 | Are you able to walk a block (100 m) on flat ground? |
| 98 | PFC7r1 | Are you able to run five miles (8 km)? |
| 99 | PFA1 | Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?b |
| 100 | PFA3 | Does your health now limit you in bending, kneeling, or stooping? |
| 101 | PFA4 | Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture? |
| 102 | PFA5 | Does your health now limit you in lifting or carrying groceries? |
| 103 | PFA6 | Does your health now limit you in bathing or dressing yourself? |
| 104 | PFB1 | Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries? |
| 105 | PFB3 | Does your health now limit you in putting a trash bag outside? |
| 106 | PFB43 | Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)? |
| 107 | PFB44 | Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf? |
| 108 | PFB48 | Does your health now limit you in taking a shower? |
| 109 | PFB49 | Does your health now limit you in going for a short walk (less than 15 min)? |
| 110 | PFB5r1 | Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills? |
| 111 | PFB51 | Does your health now limit you in participating in active sports such as swimming, tennis, or basketball? |
| 112 | PFB54 | Does your health now limit you in going OUTSIDE the home, for example to shop or visit a doctor’s office? |
| 113 | PFB7 | Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging? |
| 114 | PFC10 | Does your health now limit you in climbing several flights of stairs? |
| 115 | PFC12 | Does your health now limit you in doing two hours of physical labor? |
| 116 | PFC35 | Does your health now limit you in doing eight hours of physical labor? |
| 117 | PFC36r1 | Does your health now limit you in walking more than a mile (1.6 km)? |
| 118 | PFC37 | Does your health now limit you in climbing one flight of stairs? |
| 119 | PFC54 | Does your health now limit you in getting in and out of the bathtub? |
| 120 | PFC56 | Does your health now limit you in walking about the house? |
| 121 | PFB50 | How much difficulty do you have doing your daily physical activities, because of your health?c |
aResponse options for questions 1–98 are 1 = Unable to do; 2 = With much difficulty; 3 = With some difficulty; 4 = With a little difficulty; 5 = Without any difficulty
bResponse options for questions 99–123 are 1 = Cannot do; 2 = Quite a lot; 3 = Somewhat; 4 = Very little; 5 = Not at all
cResponse options for question 121 are 1 = Can’t do because of health, 2 = A lot of difficulty; 3 = Some difficulty; 4 = A little bit of difficulty; 5 = No difficulty at all