Attribute | Level | Description |
---|---|---|
VISION | 1 | Able to see well enough to read ordinary newsprint and recognize a friend on the other side of the street, without glasses or contact lenses. |
2 | Able to see well enough to read ordinary newsprint and recognize a friend on the other side of the street, but with glasses. | |
3 | Able to read ordinary newsprint with or without glasses but unable to recognize a friend on the other side of the street, even with glasses. | |
4 | Able to recognize a friend on the other side of the street with or without glasses but unable to read ordinary newsprint, even with glasses. | |
5 | Unable to read ordinary newsprint and unable to recognize a friend on the other side of the street, even with glasses. | |
6 | Unable to see at all. | |
HEARING | 1 | Able to hear what is said in a group conversation with at least three other people, without a hearing aid. |
2 | Able to hear what is said in a conversation with one other person in a quiet room without a hearing aid, but requires a hearing aid to hear what is said in a group conversation with at least three other people. | |
3 | Able to hear what is said in a conversation with one other person in a quiet room with a hearing aid, and able to hear what is said in a group conversation with at least three other people, with a hearing aid. | |
4 | Able to hear what is said in a conversation with one other person in a quiet room, without a hearing aid, but unable to hear what is said in a group conversation with at least three other people even with a hearing aid. | |
5 | Able to hear what is said in a conversation with one other person in a quiet room with a hearing aid, but unable to hear what is said in a group conversation with at least three other people even with a hearing aid. | |
6 | Unable to hear at all. | |
SPEECH | 1 | Able to be understood completely when speaking with strangers or friends. |
2 | Able to be understood partially when speaking with strangers but able to be understood completely when speaking with people who know me well. | |
3 | Able to be understood partially when speaking with strangers or people who know me well. | |
4 | Unable to be understood when speaking with strangers but able to be understood partially by people who know me well. | |
5 | Unable to be understood when speaking to other people (or unable to speak at all). | |
AMBULATION | 1 | Able to walk around the neighbourhood without difficulty, and without walking equipment. |
2 | Able to walk around the neighbourhood with difficulty; but does not require walking equipment or the help of another person. | |
3 | Able to walk around the neighbourhood with walking equipment, but without the help of another person. | |
4 | Able to walk only short distances with walking equipment, and requires a wheelchair to get around the neighbourhood. | |
5 | Unable to walk alone, even with walking equipment. Able to walk short distances with the help of another person, and requires a wheelchair to get around the neighbourhood. | |
6 | Cannot walk at all. | |
DEXTERITY | 1 | Full use of two hands and ten fingers. |
2 | Limitations in the use of hands or fingers, but does not require special tools or help of another person. | |
3 | Limitations in the use of hands or fingers, is independent with use of special tools (does not require the help of another person). | |
4 | Limitations in the use of hands or fingers, requires the help of another person for some tasks (not independent even with use of special tools). | |
5 | Limitations in use of hands or fingers, requires the help of another person for most tasks (not independent even with use of special tools). | |
6 | Limitations in use of hands or fingers, requires the help of another person for all tasks (not independent even with use of special tools). | |
EMOTION | 1 | Happy and interested in life. |
2 | Somewhat happy. | |
3 | Somewhat unhappy. | |
4 | Very unhappy. | |
5 | So unhappy that life is not worthwhile. | |
COGNITION | 1 | Able to remember most things, think clearly and solve day to day problems. |
2 | Able to remember most things, but have a little difficulty when trying to think and solve day to day problems. | |
3 | Somewhat forgetful, but able to think clearly and solve day to day problems. | |
4 | Somewhat forgetful, and have a little difficulty when trying to think or solve day to day problems. | |
5 | Very forgetful, and have great difficulty when trying to think or solve day to day problems. | |
6 | Unable to remember anything at all, and unable to think or solve day to day problems. | |
PAIN | 1 | Free of pain and discomfort. |
2 | Mild to moderate pain that prevents no activities. | |
3 | Moderate pain that prevents a few activities. | |
4 | Moderate to severe pain that prevents some activities. | |
5 | Severe pain that prevents most activities. |