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Q1. Family/Home Responsibilities: This category refers to activities of the home or family. It includes chores or duties performed around the house (e.g. yard work) and errands or favors for other family members (e.g. driving the children to school). |
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No Disability (0) |
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Worst Disability (10) |
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Q2. Recreation: This disability includes hobbies, sports, and other similar leisure time activities. |
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No Disability (0) |
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Worst Disability (10) |
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Q3. Social Activity: This category refers to activities, which involve participation with friends and
acquaintances other than family members. It includes parties, theater, concerts, dining out, and other social functions. |
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No Disability (0) |
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Worst Disability (10) |
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Q4. Occupation: This category refers to activities that are part of or directly related to one’s job. This includes non-paying jobs as well, such as that of a housewife or volunteer. |
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No Disability (0) |
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Worst Disability (10) |
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Q5. Sexual Behavior: This category refers to the frequency and quality of one’s sex life. |
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No Disability (0) |
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Worst Disability (10) |
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Q6. Self Care: This category includes activities, which involve personal maintenance and independent daily living (e.g. taking a shower, driving, getting dressed, etc.) |
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No Disability (0) |
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Worst Disability (10) |
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Q7. Life-Support Activities: This category refers to basic life supporting behaviors such as eating, sleeping and breathing. |
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No Disability (0) |
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Worst Disability (10) |
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