43

PFA56

Are you able to get in and out of a car?

44

PFA8

Are you able to move a chair from one room to another?

45

PFA9

Are you able to bend down and pick up clothing from the floor?

46

PFB10

Are you able to climb up five steps?

47

PFB11

Are you able to wash dishes, pots, and utensils by hand while standing at a sink?

48

PFB12

Are you able to make a bed, including spreading and tucking in bed sheets?

49

PFB13

Are you able to carry a shopping bag or briefcase?

50

PFB14

Are you able to take a tub bath?

51

PFB15

Are you able to change the bulb in a table lamp?

52

PFB16

Are you able to press with your index finger (for example ringing a doorbell)?

53

PFB17

Are you able to put on and take off your socks?

54

PFB18

Are you able to shave your face or apply makeup?

55

PFB19

Are you able to squeeze a new tube of toothpaste?

56

PFB20

Are you able to cut a piece of paper with scissors?

57

PFB21

Are you able to pick up coins from a table top?

58

PFB22

Are you able to hold a plate full of food?

59

PFB23

Are you able to pour liquid from a bottle into a glass?

60

PFB24

Are you able to run a short distance, such as to catch a bus?

61

PFB25

Are you able to push open a door after turning the knob?

62

PFB26

Are you able to shampoo your hair?

63

PFB27

Are you able to tie a knot or a bow?

64

PFB28

Are you able to lift 10 pounds above your shoulder?

65

PFB29

Are you able to lift a full cup or glass to your mouth?

66

PFB30

Are you able to open a new milk carton?

67

PFB31

Are you able to open car doors?

68

PFB32

Are you able to stand unsupported for 10 minutes?

69

PFB33

Are you able to remove something from your back pocket?

70

PFB34

Are you able to change a light bulb overhead?

71

PFB36

Are you able to put on a pullover sweater?

72

PFB37

Are you able to turn faucets on and off?

73

PFB39

Are you able to reach and get down a 5 pound object from above your head?

74

PFB40

Are you able to stand up on tiptoes?

75

PFB41

Are you able to trim your fingernails?

76

PFB42

Are you able to stand unsupported for 30 minutes?

77

PFB56

Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow?

78

PFB8

Are you able to carry two bags filled with groceries 100 yards?

79

PFB9

Are you able to jump up and down?

80

PFC13

Are you able to run 100 yards?

81

PFC29

Are you able to walk up and down two steps?

82

PFC31

Are you able to reach into a low cupboard?

83

PFC32

Are you able to climb up 5 flights of stairs?

84

PFC33

Are you able to run ten miles?

85

PFC38

Are you able to walk at a normal speed?