| Item | Item description (Usually, due to health problems, ...) |
| BATH | Do you have trouble feeding, bathing or going to the bathroom? |
| RUN | Do you have trouble running, lifting heavy objects, play sports or perform heavy work? |
| PUSH | Do you have trouble pushing the table or perform home repairs? |
| CLIMBSTAIRS | Do you have trouble climbing slopes and stairs? |
| KNEEL | Do you have trouble stooping, kneeling or bowing? |
| WALK1KM | Do you have difficulty walking more than a kilometre? |
| WALK100M | Do you have difficulty walking 100 meters? |