Start
hcs_2_clinic_15
HERTFORDSHIRE 31-39
TIMED "UP & GO"

Name

Generic Text

Able to walk without another persons help

1
Yes
2
no

Walking aid

1
none
2
stick
3
frame
4
other specify
Other

Timed 6m up & go ... seconds

Seconds

Timed 3m walk ... seconds

Seconds

Which hand do you mostly write with

1
Left
2
Right
3
Ambidextrous
(N.B can write with both hands)

Observer

Generic Text
End

hcs_2_clinic_15

HERTFORDSHIRE 31-39
TIMED "UP & GO"
Name
Generic Text
Able to walk without another persons help
1
Yes
2
no
Walking aid
1
none
2
stick
3
frame
4
other specify
Other
Timed 6m up & go ... seconds
Seconds
Timed 3m walk ... seconds
Seconds
Which hand do you mostly write with
1
Left
2
Right
3
Ambidextrous
(N.B can write with both hands)
Observer
Generic Text
Name

Timed "up & go"