CDEs
Forms
Are you able to move a chair from one room to another?
Are you able to bend down and pick up clothing from the floor?
Are you able to stand for one hour?
Are you able to do chores such as vacuuming or yard work?
Are you able to push open a heavy door?
Are you able to exercise for an hour?
Are you able to carry a heavy object (over 10 pounds/5 kg)?
Are you able to stand up from an armless straight chair?
Are you able to dress yourself, including tying shoelaces and buttoning your clothes?
Are you able to reach into a high cupboard?
Are you able to use a hammer to pound a nail?
Are you able to run or jog for two miles (3 km)?
Are you able to cut your food using eating utensils?
Are you able to go up and down stairs at a normal pace?
Are you able to go for a walk of at least 15 minutes?
Are you able to run on uneven ground?
Are you able to open a can with a hand can opener?
Are you able to pull heavy objects (10 pounds/5 kilograms) towards yourself?
Are you able to step up and down curbs?
Are you able to get up from the floor from lying on your back without help?
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