CDEs
Forms
Are you able to get in and out of bed?
Are you able to dig a 2-foot (1/2 m) deep hole in the dirt with a shovel?
Are you able to lift a heavy painting or picture to hang on your wall above eye-level?
Are you able to paint the walls of a room with a brush or roller for 2 hours without stopping to rest?
Are you able to row a boat for 30 minutes without stopping to rest?
Are you able to hand wash and wax a car for 2 hours without stopping to rest?
Are you able to complete 5 push-ups without stopping?
Are you able to rake leaves or sweep for an hour without stopping to rest?
Are you able to do a pull-up?
Are you able to lift a heavy object (20 lbs/10 kg) above your head?
Are you able to hit the backboard with a basketball from the free-throw line (13 ft/4 m)?
Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table?
Are you able to remove a heavy suitcase (50 lbs/25 kg) from an overhead bin on an airplane or bus?
Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes?
Are you able to complete 10 sit-ups without stopping?
Are you able to climb the stairs of a 10-story building without stopping?
Are you able to walk briskly for 20 minutes without stopping to rest?
Are you able to come to a complete stop while running?
Are you able to make sharp turns while running fast?
Are you able to jump rope for 10 minutes without stopping?
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