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Does your health now limit you in lifting or carrying groceries?
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Does your health now limit you in bathing or dressing yourself?
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Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?
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Does your health now limit you in putting a trash bag outside?
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Does your health now limit you in dancing for half an hour?
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Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills?
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Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging?
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Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)?
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Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?
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Does your health now limit you in taking part in any sports (swimming, bowling, and so forth)?
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Does your health now limit you in taking a shower?
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Does your health now limit you in going for a short walk (less than 15 minutes)?
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Does your health now limit you in participating in active sports such as swimming, tennis, or basketball?
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Does your health now limit you in going OUTSIDE the home, for example to shop or visit a doctor’s office?
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Does your health now limit you in opening a previously opened jar?
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Does your health now limit you in climbing several flights of stairs?
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Does your health now limit you in doing yard work like raking leaves, weeding, or pushing a lawn mower?
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Does your health now limit you in doing two hours of physical labor?
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Does your health now limit you in doing eight hours of physical labor?
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Does your health now limit you in walking more than a mile (1.6 km)?