No

Field Name

No

Field Name

No

Field Name

0

SEX

15

TRANSFER_BED_CHAIR

30

FINANCIAL_AFFAIRS_CAPABILITY

1

AGE

16

GROUND_WALKING

31

COGNITIVE_FUNCTION

2

ETHNIC

17

UP_DOWN_STAIRS

32

ATTACKS

3

EDUCATION

18

DUKK_WITTED

33

DEPRESSIVE_SYMPTOMS

4

RELIGION

19

HEIGHT

34

CONSCIOUSNESS_LEVEL

5

MARITAL_STATUS

20

WEIGHT

35

VISION

6

HOUSING_CONDITION

21

GLASSES

36

HEARING

7

INCOME

22

HEARING_AID

37

COMMUNICATION

8

EATING

23

GO_SHOPPING

38

LIFE_SKILLS

9

BATHE

24

OUTINGS

39

WORK_ABILITY

10

MODIFY

25

FOOD_COOKING

40

TIME_SPATIAL_ORIENTATION

11

CLOTHING

26

MAINTAIN_HOUSEWORK

41

PEOPLE_ORIENTATION

12

STOOL_CONTROL

27

WASHING_CLOTHES

42

SOCIAL_SKILLS

13

PEE_CONTROL

28

USE_PHONE_ABILITY

14

TOILET

29

MEDICATION