Because of a physical or mental health problem, do you have difficulty doing any of the activities on this card? SHOW CARD FL1 Exclude any difficulties that you expect to last less than three months.

1 Walking 100 meters (100 yards)
2 Running or jogging about 1.5 kilometres (1 mile)
3 Sitting for about two hours
4 Getting up from a chair after sitting for long periods
5 Climbing several flights of stairs without resting
6 Climbing one flight of stairs without resting
7 Stooping, kneeling, or crouching
8 Reaching or extending your arms above shoulder level
9 Pulling or pushing large objects like a living room chair
10 Lifting or carrying weights over 10 pounds/5 kilos, like a heavy bag of groceries
11 Picking up a small coin from a table
96 None of these
99 RF