From: The relationship between sensory impairment and functional independence among elderly
ADL Item | Score on Seeing Severity Index | Score on Hearing Severity Index |
---|---|---|
Difficulty seeing ordinary newsprint with glasses or contact lenses if usually worn? | No = 0 Yes, but able = 1 Yes but, completely unable = 2 | |
Difficulty clearly seeing the face of someone across a room with glasses or contact lenses if usually worn? | No = 0 Yes, but able = 1 Yes but, completely unable = 2 | |
Difficulty hearing what is said in a conversation with one person? | No = 0 Yes, but able = 1 Yes but, completely unable = 2 | |
Difficulty hearing what is said in a group conversation with at least three other people? | No = 0 Yes, but able = 1 Yes but, completely unable = 2 | |
Able to hear what is said over the telephone? | Yes = 0 No = 1 | |
Total Possible Score | 4 | 5 |