CDEs
Forms
Glasses contact lense other PhenX
Other glasses contact lense PhenX
Glasses no longer need PhenX
Date when first prescribed Glasses lens prescription [PhenX]
Age when first prescribed [PhenX]
Date stopped PhenX
Reason stopped PhenX
Glasses freq PhenX
Balance test PhenX
Balance test score PhenX
If participant did not attempt test or failed, mark why:
If participant did not attempt test or failed, mark why:
Number of seconds held if less than 10 sec
Total Balance Tests score (sum points)
Length of walk test course
3 or 4 meters time PhenX
Aids for the first walk
Record the shorter of the two times
4 meter walk points PhenX
3-meter walk points PhenX
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179