ACESOAI

PROMIS item bank - physical function - version 1.0

Label Value Unit
Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in bending, kneeling, or stooping:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in lifting or carrying groceries:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in bathing or dressing yourself:Find:Pt:^Patient:Ord:PROMIS ©
How much do physical health problems now limit your usual physical activities (such as walking or climbing stairs):Find:Pt:^Patient:Ord:PROMIS ©
Are you able to move a chair from one room to another:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to bend down and pick up clothing from the floor:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand for one hour:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to do chores such as vacuuming or yard work:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to push open a heavy door:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to exercise for an hour:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to carry a heavy object (over 10 pounds):Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand up from an armless straight chair:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to dress yourself, including tying shoelaces and doing buttons:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to reach into a high cupboard:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to use a hammer to pound a nail:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run or jog for two miles:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to cut your food using eating utensils:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to go up and down stairs at a normal pace:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to open previously opened jars:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to go for a walk of at least 15 minutes:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to open a can with a hand can opener:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to pull heavy objects (10 pounds) towards yourself:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to step up and down curbs:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to get up off the floor from lying on your back without help:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand with your knees straight:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to exercise hard for half an hour:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to wash your back:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to open and close a zipper:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to put on and take off a coat or jacket:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand for short periods of time:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to dry your back with a towel:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run at a fast pace for two miles:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to turn a key in a lock:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to squat and get up:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to carry a laundry basket up a flight of stairs:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to write with a pen or pencil:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to put on a shirt or blouse:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to get out of bed into a chair:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to pull on trousers:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to peel fruit:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to bend or twist your back:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to brush your teeth:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to sit on the edge of a bed:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to tie your shoelaces:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run errands and shop:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to button your shirt:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to wash and dry your body:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to get in and out of a car:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in putting a trash bag outside:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to carry two bags filled with groceries 100 yards:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to jump up and down:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to climb up five steps:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to wash dishes, pots, and utensils by hand while standing at a sink:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to make a bed, including spreading and tucking in bed sheets:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to carry a shopping bag or briefcase:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to take a tub bath:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to change the bulb in a table lamp:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to press with your index finger (for example ringing a doorbell):Find:Pt:^Patient:Ord:PROMIS ©
Are you able to put on and take off your socks:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to shave your face or apply makeup:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to squeeze a new tube of toothpaste:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to cut a piece of paper with scissors:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to pick up coins from a table top:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to hold a plate full of food:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to pour liquid from a bottle into a glass:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run a short distance, such as to catch a bus:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to push open a door after turning the knob:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to shampoo your hair:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to tie a knot or a bow:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to lift 10 pounds above your shoulder:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to lift a full cup or glass to your mouth:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to open a new milk carton:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to open car doors:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand unsupported for 10 minutes:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to remove something from your back pocket:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to change a light bulb overhead:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to put on a pullover sweater:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to turn faucets on and off:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to reach and get down a 5 pound object from above your head:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand up on tiptoes:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to trim your fingernails:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand unsupported for 30 minutes:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe):Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in taking a shower:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in going for a short walk (less than 15 minutes):Find:Pt:^Patient:Ord:PROMIS ©
How much difficulty do you have doing your daily physical activities, because of your health:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in participating in active sports such as swimming, tennis, or basketball:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in going outside the home, for example to shop or visit a doctor's office:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to walk a block on flat ground:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run five miles:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in climbing several flights of stairs:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing 2H of physical labor:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run 100 yards:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in walking one hundred yards:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to walk up and down two steps:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to reach into a low cupboard:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to climb up 5 flights of stairs:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to run ten miles:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in walking several hundred yards:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in doing 8H of physical labor:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in walking more than a mile:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in climbing one flight of stairs:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to walk at a normal speed:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to stand without losing your balance for several minutes:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to kneel on the floor:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to sit down in and stand up from a low, soft couch:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to get on and off the toilet:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to transfer from a bed to a chair and back:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to be out of bed most of the day:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to water a house plant:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to wipe yourself after using the toilet:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to turn from side to side in bed:Find:Pt:^Patient:Ord:PROMIS ©
Are you able to get in and out of bed:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in getting in and out of the bathtub:Find:Pt:^Patient:Ord:PROMIS ©
Does your health now limit you in walking about the house:Find:Pt:^Patient:Ord:PROMIS ©
PROMIS physical function - version 1.0 T-score:Tscore:Pt:^Patient:Qn:PROMIS © {Tscore}