(1) No difficulty
(2) Mild difficulty
(3) Moderate difficulty
(4) Severe difficulty
(5) Unable
Place an object on a shelf above your head
Do heavy household chores (e.g., wash walls, wash floors)
Carry a shopping bag or briefcase
Carry a heavy object (over 10 lbs)
Change a lightbulb overhead
Wash or blow dry your hair
Put on a pullover sweater
Recreational activities which require little effort (e.g., cardplaying, knitting, etc.)
Recreational activities in which you take some force or impact through your arm, shoulder or hand (e.g., golf, hammering, tennis, etc.)
Recreational activities in which you move your arm freely (e.g., playing frisbee, badminton, etc.)
Manage transportation needs (getting from one place to another)