SINGLE MEASURE

ADLs

Question(s)	Under each heading, please tick the ONE box that best describes your health TODAY.
Response scale	MOBILITY 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 SELF-CARE I have no problems washing or dressing myself I have slight problems washing or dressing myself I have moderate problems washing or dressing myself I have severe problems washing or dressing myself I am unable to wash or dress myself USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities) I have no problems doing my usual activities I have slight problems doing my usual activities I have moderate problems doing my usual activities I have severe problems doing my usual activities I am unable to do my usual activities
Participant age	12 - 120
Starts	January 2022
Ends	January 2023
Provision OR Receipt OR Need?	Need;
Informant:	Participant
Multiple rater?	No
Reporting Term	Current
Standard instrument?	No
Measure ID	BiB-5231