(1) Walking, except for using stairs?
[] Y or "doesn't do"
[] N
(2) Going outside?
[] Y or "doesn't do"
[] N
(3) Using the toilet in the bathroom including getting to the bathroom?
[] Y or "doesn't do"
[] N
(4) Bathing, including sponge baths?
[] Y or "doesn't do"
[] N
(5) Dressing?
[] Y or "doesn't do"
[] N
(6) Eating?
[] Y or "doesn't do"
[] N
(7) Getting in and out of bed or chairs?
[] Y or "doesn't do"
[] N