CS. Chair Stand

CS. Chair Stand Module of SHARE 2013

item label type description
CS001 Question The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this...
CS002 Question Do you think it would be safe for you to try to stand up from a chair without using your arms?
CS003 Question asked of interviewer IWER:Setup test and follow protocol according to recording book let.
CS004 Question IWER:Record single chair stand test results
CS005 Question IWER:Why didn't R complete the single chair stand test?{CodeAll}
CS006 Question IWER:Record other reason
CS007 Question Do you think it would be safe for you to try to stand up from a chair five times without using your arms?
CS009 Question IWER:Why didn't R complete the five chair stand test?{CodeAll}
CS010 Question IWER:Record other reason
CS011 Question IWER:How much effort did R give to this measurement?
CS008 Question TimeFive
Start of CS. Chair Stand
 
CS001

The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this...

THE NEXT TEST MEASURES THE STRENGTH AND ENDURANCE IN YOUR LEGS. I WOULD LIK E YOU TO FOLD YOUR ARMS ACROSS YOUR CHEST AND SIT SO THAT YOUR FEET ARE ON THE FLOOR; THEN STANDUP K EEPING YOUR ARMS FOLDED ACROSS YOUR CHEST. LIK E THIS...
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If The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this... <> EMPTY »
 
   
 
CS002

Do you think it would be safe for you to try to stand up from a chair without using your arms?

DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR WITHOUT USING YOUR ARMS?
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If Do you think it would be safe for you to try to stand up from a chair without using your arms? = 1 Yes 5 No  »
 
     
   
CS003

IWER:Setup test and follow protocol according to recording book let.

IWER:SETUP TEST AND FOLLOW PROTOCOL ACCORDING TO RECORDING BOOK LET.
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CS004

IWER:Record single chair stand test results

IWER:RECORD SINGLE CHAIR STAND TEST RESULTS
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If IWER:Record single chair stand test results = 3 »
 
       
     
CS005

IWER:Why didn't R complete the single chair stand test?{CodeAll}

IWER:WHY DIDN'T R COMPLETE THE SINGLE CHAIR STAND TEST?{CODEALL}
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If 97 includes CS005 »
 
         
       
CS006

IWER:Record other reason

IWER:RECORD OTHER REASON
         
     
Else
 
         
       
DUMMY
         
   
Else
 
       
     
If IWER:Record single chair stand test results = 1 R stood up without using arms 2 R used arms to stand up 3 Test not completed  »
 
         
       
CS007

Do you think it would be safe for you to try to stand up from a chair five times without using your arms?

DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR FIVE TIMES WITHOUT USING YOUR ARMS?
expand
         
       
If Do you think it would be safe for you to try to stand up from a chair five times without using your arms? = 1 Yes 5 No  »
 
           
         
CS008

TimeFive

PLEASE STAND UP STRAIGHT AS QUICKLY AS YOU CAN, WITHOUT STOPPING IN BETWEEN. AFTER STANDING UP EACH TIME, SIT DOWN AND THEN STAND UP AGAIN. KEEP YOUR ARMS FOLDED
ACROSS YOUR CHEST. I’LL BE TIMING YOU WITH A STOPWATCH. WHEN I SAY “READY, STAND” I WILL BEGIN TIMING YOU.
[IWER: RECORD TIME IN SECONDS USED FOR 5 STANDS. TYPE 99 IF R FAILED TO COMPLETE 5 STANDS IN ONE MINUTE]
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If TimeFive = 99 »
 
             
           
CS009

IWER:Why didn't R complete the five chair stand test?{CodeAll}

IWER:WHY DIDN'T R COMPLETE THE FIVE CHAIR STAND TEST?{CODEALL}
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If 97 includes CS009 »
 
               
             
CS010

IWER:Record other reason

IWER:RECORD OTHER REASON
               
         
CS011

IWER:How much effort did R give to this measurement?

IWER:HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?
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End of CS. Chair Stand
Start of CS. Chair Stand

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CS001
The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this...

THE NEXT TEST MEASURES THE STRENGTH AND ENDURANCE IN YOUR LEGS. I WOULD LIK E YOU TO FOLD YOUR ARMS ACROSS YOUR CHEST AND SIT SO THAT YOUR FEET ARE ON THE FLOOR; THEN STANDUP K EEPING YOUR ARMS FOLDED ACROSS YOUR CHEST. LIK E THIS...
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Continue


If The next test measures the strength and endurance in your legs. I would lik e you to fold your arms across your chest and sit so that your feet are on the floor; then standup k eeping your arms folded across your chest. Lik e this... (CS001) <> EMPTY »

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CS002
Do you think it would be safe for you to try to stand up from a chair without using your arms?

DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR WITHOUT USING YOUR ARMS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If Do you think it would be safe for you to try to stand up from a chair without using your arms? (CS002) = 1 Yes 5 No  »

| |  ========================================================================
| | 
CS003
IWER:Setup test and follow protocol according to recording book let.

IWER:SETUP TEST AND FOLLOW PROTOCOL ACCORDING TO RECORDING BOOK LET.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Continue


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| | 
CS004
IWER:Record single chair stand test results

IWER:RECORD SINGLE CHAIR STAND TEST RESULTS
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R stood up without using arms
2 R used arms to stand up
3 Test not completed


| |  If IWER:Record single chair stand test results (CS004) = 3 »

| | |  ========================================================================
| | | 
CS005
IWER:Why didn't R complete the single chair stand test?{CodeAll}

IWER:WHY DIDN'T R COMPLETE THE SINGLE CHAIR STAND TEST?{CODEALL}
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)


| | |  If 97 IN CS005 »

| | | |  ========================================================================
| | | | 
CS006
IWER:Record other reason

IWER:RECORD OTHER REASON

| | |  Else

| | | |  ========================================================================
| | | | 
DUMMY
DUMMY

| |  Else

| | |  If IWER:Record single chair stand test results (CS004) = 1 R stood up without using arms 2 R used arms to stand up 3 Test not completed  »

| | | |  ========================================================================
| | | | 
CS007
Do you think it would be safe for you to try to stand up from a chair five times without using your arms?

DO YOU THINK IT WOULD BE SAFE FOR YOU TO TRY TO STAND UP FROM A CHAIR FIVE TIMES WITHOUT USING YOUR ARMS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


| | | |  If Do you think it would be safe for you to try to stand up from a chair five times without using your arms? (CS007) = 1 Yes 5 No  »

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CS008
TimeFive

PLEASE STAND UP STRAIGHT AS QUICKLY AS YOU CAN, WITHOUT STOPPING IN BETWEEN. AFTER STANDING UP EACH TIME, SIT DOWN AND THEN STAND UP AGAIN. KEEP YOUR ARMS FOLDED
ACROSS YOUR CHEST. I’LL BE TIMING YOU WITH A STOPWATCH. WHEN I SAY “READY, STAND” I WILL BEGIN TIMING YOU.
[IWER: RECORD TIME IN SECONDS USED FOR 5 STANDS. TYPE 99 IF R FAILED TO COMPLETE 5 STANDS IN ONE MINUTE]
- - - - - - - - - - - - - - - - - - - - - - - - -
0..99

| | | | |  If TimeFive (CS008) = 99 »

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| | | | | | 
CS009
IWER:Why didn't R complete the five chair stand test?{CodeAll}

IWER:WHY DIDN'T R COMPLETE THE FIVE CHAIR STAND TEST?{CODEALL}
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Tried but unable
2 R could not stand unassisted
3 R felt it would not be safe
4 IWER felt it would not be safe
5 R refused or was not willing to complete the test
6 R did not understand the instructions
97 Other (Specify)


| | | | | |  If 97 IN CS009 »

| | | | | | |  ========================================================================
| | | | | | | 
CS010
IWER:Record other reason

IWER:RECORD OTHER REASON

| | | | |  ========================================================================
| | | | | 
CS011
IWER:How much effort did R give to this measurement?

IWER:HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 R gave full effort
2 R was prevented from giving full effort by illness, pain, or other symptoms or discomforts
3 R did not appear to give full effort, but no obvious reason for this


End of CS. Chair Stand