Questionnaire Text

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4.13 How do you evaluate your ability to climb stairs? (If you use a prosthesis, cane, or other facilitating device, make your evaluation based on when you're using them)
[] 1 incapable
[] 2 severe permanent difficulties
[] 3 some permanent difficulties
[] 4 no difficulty

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Question 4.13 - How do you evaluate your ability to walk/go up stairways? (If the person uses some type of braces, cane or other aid, make your evaluation when he or she is using such equipment)

According to the person's statement, mark:

1 - Unable - for persons who say they are unable to walk or go up stairways without another person's help, due to handicap in walking arising from permanent damage to the nervous system;
2 - Severe permanent difficulty - for persons who say they have great permanent difficulty in walking or going up stairways without the help of another person, even with the use of prostheses or other auxiliary equipment;
3 - Some permanent difficulty - for persons who say they have some permanent difficulty in walking or going up stairways without the help of another person, even with the use of prosthesis or other auxiliary equipment;
4 - No difficulty - for persons who say they have no difficulty walking or going up stairs without the help of another person, even if this requires the use of prosthesis or other auxiliary equipment. Children who have not yet attained the phase of walking or are still learning should be included on this category.