Please place a tick () in the box that best describes your abilities for each of the following questions.

a. Do you usually manage to wash all over by yourself, using either a bath or shower?

b. Do you usually manage to get dressed and undressed by yourself?

c. Do you usually manage to use the WC/toilet by yourself?

d. Do you usually manage to wash your face and hands by yourself?

Repeated response scale for all categories:
I can do this easily by myself
I have difficulty doing this myself
I can’t do this by myself