Attribute | Level | 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 the respondent well | |
3 | Able to be understood partially when speaking with strangers or people who know the respondent well | |
4 | Unable to be understood when speaking with strangers but able to be understood partially by people who know the respondent well | |
5 | Unable to be understood when speaking to other people (or unable to speak at all) | |
Ambulation | 1 | Able to walk around the neighborhood without difficulty, and without walking equipment |
2 | Able to walk around the neighborhood with difficulty, but does not require walking equipment or the help of another person | |
3 | Able to walk around the neighborhood 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 neighborhood | |
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 neighborhood | |
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 has 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 |