Co-morbidities | ||
---|---|---|
Have you ever been told by a doctor or other health professional: | ||
That you have arthritis or rheumatism? | □Yes | □No |
That you have high blood pressure? | □Yes | □No |
That you have diabetes? | □Yes | □No |
That you have had a stroke? | □Yes | □No |
Functional ability | ||
In the last three months, have you ha any difficulties with any of the following activities because of health problems or disabilities? | ||
Gripping or holding things | □Yes | □No |
Brushing or combing your hair | □Yes | □No |
Getting up and down stairs | □Yes | □No |
Getting up from a chair or the toilet | □Yes | □No |
Putting on shoes, socks or stockings | □Yes | □No |
Standing or walking | □Yes | □No |