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Baseline Questionnaire - GeroNet

Baseline Questionnaire - GeroNet

Baseline Questionnaire - GeroNet

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E. PHYSICAL ACTIVITY: your level of physical activityyesterday1. Did you spend more than half of yesterday in awheelchair?___ YesIf yes: Did you move or control the movement of thewheelchair without help most of the time yesterday?___ Yes___ No. Skip to Section F.___ No2. Did you spend more than half of yesterday in bed? Ifso, why?___ Yes, health related. Skip to Section F.___ Yes, not health related. Skip to Section F.___ No4. Did you spend more than half of yesterday in a chair?If so why?___ Yes, health related___ Yes, not health related___ No5. Did you limp or use a cane, crutch or walker yesterday?___ Yes___ No

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