Question Grid

Name

qg_4

Label

4

Question Text

The following items are about activities you might do during a typical day. Does your health limit you in these activities? If so, how much?

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1 - Yes, limited a lot

2 - Yes, limited a little

3 - No, not limited at all

Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Lifting or carrying groceries
Climbing several flights of stairs
Climbing one flight of stairs
Bending, kneeling or stooping
Walking more than one mile
Walking half a mile
Walking 100 yards
Bathing or dressing yourself

Usage

9 questions before...
Please check you have completed all the questions
The following items are about activities you might do during a typical day. Does your health limit you in these activities? If so, how much?

Tick one box on each line

-

1 - Yes, limited a lot

2 - Yes, limited a little

3 - No, not limited at all

Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Lifting or carrying groceries
Climbing several flights of stairs
Climbing one flight of stairs
Bending, kneeling or stooping
Walking more than one mile
Walking half a mile
Walking 100 yards
Bathing or dressing yourself
Please check you have completed all the questions
24 questions after...

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Code Dimension

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False
Display Label
False

Code Dimension

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Code List
Selection Style
SelectOne
Codes
  • 1 -
Display Code
False
Display Label
False

Response Options

Type
Code List
Selection Style
SelectOne
Codes