Domain | Levels |
---|---|
Mobility | 1 No problems walking about |
 | 2 Some problems walking about |
 | 3 Confined to bed |
Self-Care | 1 No problems with self-care |
 | 2 Some problems washing or dressing self |
 | 3 Unable to wash or dress self |
Usual Activities | 1 No problems with performing usual activities (e.g. work, study, housework, family or leisure activities) |
 | 2 Some problems with performing usual activities |
 | 3 Unable to perform usual activities |
Pain/Discomfort | 1 No pain or discomfort |
 | 2 Some pain or discomfort |
 | 3 Extreme pain or discomfort |
Anxiety/Depression | 1 Not anxious or depressed |
 | 2 Moderately anxious or depressed |
 | 3 Extremely anxious or depressed |