Section D: Functional State

Section D: Functional State Module of CRELES Wave 4

item label type description
D1 Question Are you able to walk?
D1a Question Is it difficult for you to walk 20 blocks?
D2 Question Is it difficult for you to walk a few blocks?
D3 Question Is it difficult for you to climb up a few stories by stairway without resting?
D4 Question Is it difficult for you to push or pull a large object such as a recliner chair?
D5 Question Please stand up and lift your arm(s) above your shoulder(s)
D6 Question Is it difficult for you to walk from one side of the room to the other?
D7 Question Do you use an assistance apparatus or instrument such as a walking cane, wheelchair, walker, crutches, etc. to walk across the room?
D8 Question Is it difficult for you to bathe yourself, including entering and exit ing the bath tub?
D9 Question Have you used an apparatus or instrument (handrail or stool) to bathe?
D10 Question Does someone help you bathe?
D11 Question Do you have difficulty in eating, including cutting your food, pouring drinks into glasses etc.?
D12 Question Does someone help you eat?
D13 Question Do you have difficulty in lying down on your bed or rising from the bed?
D14 Question Have you used an assistance apparatus or instrument to lie down or get up from the bed?
D15 Question Does someone help you to go to bed or get out of your bed?
D16 Question Do you have difficulty in using the bathroom, including sitting or getting up from the toilet?
D17 Question Have you used an assistance apparatus or instrument to use the toilet?
D18 Question Does someone help you to use the toilet?
D19 Question Do you have difficulty cutting your toenails?
D20 Question Does someone help you cut your toenails?
D21 Question Do you have difficulty in preparing a hot meal?
D22 Question Does someone help you to prepare a hot meal?
D23 Question Do you have difficulty managing your own money?
D24 Question Does someone help you to manage your money?
D25 Question Do you have difficulty in shopping (for example, food or clothes)?
D26 Question Does someone help you to do the grocery
D27 Question Do you have difficulty taking your medicine?
D28 Question Does someone help you to take your medicine?
Start of Section D: Functional State
 

 
End of Section D: Functional State