| Value | Code Name | Code | Code System | Code Description |
|---|---|---|---|---|
| 0 | Normal | Normal | ||
| 1 | Somewhat slow, but no help needed | Somewhat slow, but no help needed | ||
| 2 | Occasional assistance with buttoning, getting arms in sleeves | Occasional assistance with buttoning, getting arms in sleeves | ||
| 3 | Considerable help required, but can do some things alone | Considerable help required, but can do some things alone | ||
| 4 | Helpless | Helpless |