[^do you /does he /does she] have difficulty doing any of the activities on this card?

01 Dressing, including putting on shoes and socks
02 Walking across a room
03 Bathing or showering
04 Eating, such as cutting up ^[your / his / her] food
05 Getting in or out of bed
06 Using the toilet, including getting up or down
07 Using a map to figure out how to get around in a strange place
08 Recognising when you are in physical danger
09 Preparing a hot meal
10 Shopping for groceries
11 Making telephone calls
12 Communication (speech, hearing or eyesight)
13 Taking medications
14 Doing work around the house or garden
15 Managing money, such as paying bills and keeping track of expenses
96 None of these

Chronic lung disease
Asthma
Arthritis
Osteoporosis
Cancer or a malignant tumour feed forward Parkinson’s disease
An emotional, nervous or psychiatric problem
Alzheimer’s disease
Dementia, senility or another serious memory
Malignant blood disorder
Multiple Sclerosis or Motor Neuron Disease
Hallucinations
Anxiety
Depression
Emotional problems
Schizophrenia
Psychosis
Mood swings
Manic depression