CDEs
Forms
Are you able to stand with your knees straight?
Are you able to exercise hard for half an hour?
Are you able to wash your back?
Are you able to open and close a zipper?
Are you able to put on and take off a coat or jacket?
Are you able to stand for short periods of time?
Are you able to dry your back with a towel?
Are you able to run at a fast pace for two miles (3 km)?
Are you able to turn a key in a lock?
Are you able to squat and get up?
Are you able to carry a laundry basket up a flight of stairs?
Are you able to write with a pen or pencil?
Are you able to put on a shirt or blouse?
Are you able to get out of bed into a chair?
Are you able to pull on trousers?
Are you able to peel fruit?
Are you able to bend or twist your back?
Are you able to brush your teeth?
Are you able to sit on the edge of a bed?
Are you able to tie your shoelaces?
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