CDEs
Forms
Are you able to run a short distance, such as to catch a bus?
Are you able to push open a door after turning the knob?
Are you able to shampoo your hair?
Are you able to tie a knot or a bow?
Are you able to lift 10 pounds (5 kg) above your shoulder?
Are you able to lift a full cup or glass to your mouth?
Are you able to open a new milk carton?
Are you able to open car doors?
Are you able to stand unsupported for 10 minutes?
Are you able to remove something from your back pocket?
Are you able to change a lightbulb overhead?
Are you able to put on a pullover sweater?
Are you able to turn faucets on and off?
Are you able to reach and get down a 5 pound (2 kg) object from above your head?
Are you able to stand up on tiptoes?
Are you able to trim your fingernails?
Are you able to stand unsupported for 30 minutes?
Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow?
Are you able to walk a block (about 100 m) on flat ground?
Are you able to run five miles (8 km)?
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