| Item | Description of item |
| Age | Age < 75 years; 75 ≤ age < 85 years; age ≥ 85 years |
| Education | Primary education vs. secondary education |
| Living arrangements | Alone/living with spouse/living with others (son or daughter/other relatives/friends/paid assistant) |
| Informal care | Availability of someone able to help in case of need vs. lack thereof |
| Social network | Participation to social activities vs. lack thereof |
| Homecare | Availability of home care services vs. lack thereof |
| Economic condition | Monthly income sufficient for basic needs vs. lack thereof |
| Energy & drive | Being very sad, apathetic or slowed in their actions (hypoactive) or restless, agitated or talkative (hyperactive) vs. normal mood |
| Mental status | Severe confusion (do not able to live alone) vs. other condition |
| Functional status | 1) To be able to take the shower/bath alone vs. to be unable 2) To be able to get out from the house vs. to be unable 3) To be able to get off the bed vs. to be unable |