Item | Scale |
---|---|
Fatigue | Tired all or most of the time during the past four weeks(No/Yes) |
Resistance | Difficulty walking up 10 steps without resting or aids(No/Yes) |
Ambulation | Difficulty walking several hundred yards alone without aid(500–600 m)(No/Yes) |
Illnesses | 5 or more illness(No/Yes) |
Loss of weight | Weight loss > 5% within the past year(No/Yes) |