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. 2018 Jun 22;21(1):21–26. doi: 10.1177/1460408618783221

Table 1.

Reported Edmonton Frail Scale, adapted from Hilmer et al.10

Domain Item 0 Point 1 Point 2 Points
Cognition Pre-drawn circle. Add the numbers in the correct positions to make a clock then place the hands to indicate a time of 10 after 11 No errors Minor errors Major errors
General health In the past year, how many times have you been admitted to a hospital? In general, how would you describe your health? 0 Good/Excellent 1–2 Fair >2 Poor
Functional independence With how many of the following activities do you require help? - Meal preparation, shopping, transportation, telephone, housekeeping, laundry, managing money, taking medications 0–1 2–4 >4
Social support When you need help, can you count on someone who is willing and able to meet your needs? Always Sometimes Never
Medication use Are you on five or more different prescription medications on a regular basis? At times, do you forget to take your prescription medications? No No Yes Yes
Nutrition Have you recently lost weight No Yes
Mood Do you often feel sad or depressed? No Yes
Continence Have you experienced incontinence No Yes
Functional performance Two weeks ago, were you able to: • Do heavy work around the house like washing windows, walls, or floors without help? • Walk up and down stairs to the second floor without help? • Walk 1 km without help? Yes Yes Yes No No No