Physical Function
Respondent sequence number
Crawl, walk, run, play limitations
Long term impairment/health problem
Impairment requiring special equipment
Receive special ed or early intervention
Limitations keeping you from working
Limited in amount of work you can do
Need special equipment to walk
Experience confusion/memory problems
Physical, mental, emotional limitations
Difficulty managing money
Difficulty walking for a quarter mile
Difficulty walking up ten stairs
Difficulty stooping, crouching, kneeling
Difficulty lifting or carrying
Difficulty doing house chores
Difficulty preparing meals
Difficulty walking between rooms
Difficulty standingup from armless chair
Difficulty getting in and out of bed
Difficulty using fork, knife, cup
Difficulty dressing yourself
Difficulty standing for long periods
Difficulty sitting for long periods
Difficulty reaching up
Difficulty grasp/holding small objects
Difficulty going out to movies/events
Difficulty attending social event
Difficulty with home leisure activities
Difficulty moving large objects
Health problem causing difficulty
Require special healthcare equipment