Instrument (item number) | Wording of question/dimension label, the mobility-related item and the respective response options |
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15D (1) | QUESTION / DIMENSION LABEL: Mobility RESPONSE OPTIONS • I am able to walk normally (without difficulty) indoors, outdoors and on stairs. • I am able to walk without difficulty indoors, but outdoors and/or on stairs I have slight difficulties. • I am able to walk without help indoors (with or without an appliance), but outdoors and/or on stairs only with considerable difficulty or with help from others. • I am able to walk indoors only with help from others. • I am completely bed-ridden and unable to move about. |
AQoL-8D (3) | QUESTION / DIMENSION LABEL: Thinking about how easy or difficult it is for you to get around by yourself outside your house (e.g., shopping, visiting): RESPONSE OPTIONS • Getting around is enjoyable and easy • I have no difficulty getting around outside my house • A little difficulty • Moderate difficulty • A lot of difficulty • I cannot get around unless somebody is there to help me |
AQoL-8D (15) | QUESTION / DIMENSION LABEL: Thinking about your mobility, including using any aids or equipment such as wheelchairs, frames, sticks: RESPONSE OPTIONS • I am very mobile. • I have no difficulty with mobility. • I have some difficulty with mobility (for example, going uphill). • I have difficulty with mobility. I can go short distance only. • I have a lot of difficulty with mobility. I need someone to help me. • I am bedridden. |
EQ-5D-5L (1) | QUESTION / DIMENSION LABEL: Mobility RESPONSE OPTIONS • I have no problems in walking about • I have slight problems in walking about • I have moderate problems in walking about • I have severe problems in walking about • I am unable to walk about |
HUI (9) | QUESTION / DIMENSION LABEL: Which one of the following best describes your ability, during the past week, to walk? Note: Walking equipment refers to mechanical supports such as braces, a cane, crutches or a walker. RESPONSE OPTIONS • Able to walk around the neighbourhood without difficulty, and without walking equipment. • Able to walk around the neighbourhood with difficulty; but did not require walking equipment or the help of another person. • Able to walk around the neighbourhood with walking equipment, but without the help of another person. • Able to walk only short distances with walking equipment, and required a wheelchair to get around the neighbourhood. • Unable to walk alone, even with walking equipment. Able to walk short distances with the help of another person, and required a wheelchair to get around the neighbourhood. • Unable to walk at all. |
QWB-SA (7a-7 h (ii)) | QUESTION / DIMENSION LABEL: Over the last three days, did you (please fill in all days that apply): • Have trouble climbing stairs or inclines or walking off the curb? • Avoid walking, having trouble walking, or walk more slowly than other people of your age? • Limp or use a cane, crutches, or walker? • Avoid or have trouble bending over, stooping or kneeling? • Have any trouble lifting or carrying everyday objects such as books, a briefcase, or groceries? • Have any other limitations in physical movements? • Spend all or most of the day in a bed, chair, or couch because of health reasons? • Spend all or most of the day in a wheelchair? • If in a wheelchair, on which days did someone else control its movement? RESPONSE OPTIONS • No days • Yesterday • 2 days ago • 3 days ago |
SF-36v2 (3a-3j) | QUESTION / DIMENSION LABEL: The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? • Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports • Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf • Lifting or carrying groceries • Climbing several flights of stairs • Climbing one flight of stairs • Bending, kneeling or stooping • Walking more than a kilometre • Walking several hundred metres • Walking one hundred metres • Bathing or dressing yourself RESPONSE OPTIONS • Yes, limited a lot • Yes, limited a little • No, not limited at all |