1. | I don’t have any trouble putting on my socks/shoes on my own. (absolutely true = 1 to absolutely false = 6) |
2. | I don’t have any trouble putting on a t-shirt on my own. (absolutely true = 1 to absolutely false = 6) |
3. | I have trouble getting up from a low chair. (absolutely true = 1 to absolutely false = 6) |
4. | I don’t have any trouble getting into a car. (absolutely true = 1 to absolutely false = 6) |
5. | The longest distance I can currently walk is approx. <100 m; 100–500 m; 500-1000 m; 1–2 km; 2–5 km; > 5 km |
6. | After covering this distance I’m thoroughly exhausted. (absolutely true = 1 to absolutely false = 6) |
7. | I’m still capable of riding a bicycle yes = 1; no = 0 |
8. | The longest riding distance I’m still capable of is approx. <2 km; 2–5 km; 5–10 km; 10–15 km; 15–20 km; >20 km |
9. | After riding this distance I’m thoroughly exhausted. (absolutely true = 1 to absolutely false = 6) |
10. | I can walk up stairs from one storey to the next with ease. (absolutely true = 1 to absolutely false = 6) |
11. | I don’t have any trouble carrying a shopping basket approx. 50 m. (absolutely true = 1 to absolutely false = 6) |