Question

Name

qi_1_a

Label

1 a

Question Text

Walking

Usage

6 questions before...
For those who answered yes to questions 1a,1b,1c, or 1d please circle the level of disability in the appropriate section

Walking

0
Can walk more than a quarter of a mile without stopping or severe discomfort
1
Can walk more than 200 yd (but less than 1/4 mile) without stopping or severe discomfort
2
Can walk more than 50 yd without stopping or severe discomfort
3
Can only walk a few steps without stopping or severe discomfort
4
Cannot walk at all

Steps and stairs

0
Can walk up and down a flight of stairs in a normal manner without stopping for a rest and and without holding on
1
Can only walk up and down a flight of stairs without stopping for a rest and without holding on if goes sideways or one step at a time
2
Can only walk up and down a flight of 12 stairs if holds on (doesn't need a rest)
3
Can only walk up and down a flight of 12 stairs if holds on and takes a rest
4
Can walk up and down at least one step but cannot manage a flight of 12 stairs
5
Cannot walk up and down one step
16 questions after...
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