Extreme difficulty or unable to perform activity (0)
Quite a bit of difficulty (1)
Moderate difficulty (2)
A little bit of difficulty (3)
No difficulty (4)
Any of your usual work, housework, or school activities
Your usual hobbies, recreational or sporting activities
Getting into or out of the bath
Putting on your shoes or socks
Lifting an object, like a bag of groceries from the floor
Performing light activities around your home
Performing heavy activities around your home
Getting into or out of a car
Going up or down 10 stairs
Making sharp turns while running fast