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