XT020
Description:
Introduction difficulties doing activities
Item type: Question
Question text:
Because of a physical, mental, emotional or memory problem, did [{Name of deceased}] have difficulty doing any of the following activities during the last twelve months of [his/her] life? Please name only difficulties that lasted at least three months. IWER:Read out. Code all that apply.
Answer type: Enumerated
Answer choices:
1. Dressing, including putting on shoes and socks
2. Walking across a room
3. Bathing or showering
4. Eating, such as cutting up your food
5. Getting in or out of bed
6. Using the toilet, including getting up or down
7. Preparing a hot meal
8. Shopping for groceries
9. Making telephone calls 10. Taking medication 96. None of these
Flowchart: locate in flowchart