CDE Detailed Report
Disease: cookie-policy
Sub-Domain: NIH Resources
CRF:

Displaying 1 - 50 of 165
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type Source Form Set Form Field
C59812 Push empty refrigerator 1 yard 1 meter difficulty scale PshEmtyFrig1Yd1MDffcltyScl Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter Are you able to push an empty refrigerator forward 1 yard (1 m)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:49:32.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM43
C59748 Open new milk carton difficulty scale OpnNewMlkCrtnDffcltyScl Scale of the difficulty the subject/participant has in opening a new milk carton Scale of the difficulty the subject/participant has in opening a new milk carton Are you able to open a new milk carton? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:40:57.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB30
C59684 Stand 1 hour difficulty scale Stand1HourDiffficultyScl Scale of the difficulty the subject/participant has in standing for one hour Scale of the difficulty the subject/participant has in standing for one hour Are you able to stand for one hour? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 12:45:18.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA10
C59780 Wipe self after toilet difficulty scale WipeSelfAfterToiletDfficltyScl Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet Are you able to wipe yourself after using the toilet? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:26:10.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC51
C59716 Pull on trousers difficulty scale PullOnTrousersDifficultyScl Scale of the difficulty the subject/participant has in pulling on trousers Scale of the difficulty the subject/participant has in pulling on trousers Are you able to pull on trousers? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:15:46.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA47
C59727 Jump up down difficulty scale JumpUpDownDifficultyScl Scale of the difficulty the subject/participant has in jumping up and down Scale of the difficulty the subject/participant has in jumping up and down Are you able to jump up and down? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:43:30.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB9
C59846 Extent able carry out everyday physical activity scale ExtntAblCryOutEvdyPhyActScl Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? 1;2;3;4;5;1;2;3;4;5 Not at all;a little;Moderately;mostly;completely;Not at all;a little;Moderately;mostly;completely Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 14:09:39.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function Global06
C59823 Bathe dress self health limit scale BatheDressSelfHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to bathe or dress him or herself Scale of the degree to which the subject/participant's health limits his or her ability to bathe or dress him or herself Does your health now limit you in bathing or dressing yourself? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:06:48.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA6
C59759 Lift 1 pound half kilogram shoulder level straight elbow difficulty scale Lf1PdHfKgShlLvStrElbDiffScl Scale of the difficulty the subject/participant has in lifting one pound / 0.5 kilogram to shoulder level while keeping his or her elbow straight Scale of the difficulty the subject/participant has in lifting one pound / 0.5 kilogram to shoulder level while keeping his or her elbow straight Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:09:37.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB56r1
C59695 Ascend descend stair normal pace difficulty scale AscDescStrNrmlPacDffcltyScl Scale of the difficulty the subject/participant has in ascending and descending stairs at a normal pace Scale of the difficulty the subject/participant has in ascending and descending stairs at a normal pace Are you able to go up and down stairs at a normal pace? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 13:42:56.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA21
C59791 Lift heavy object over head difficulty scale LiftHvyObjOvrHeadDifficultyScl Scale of the difficulty the subject/participant has in lifting a heavy object (20 pounds / 10 kilograms) above his or her head Scale of the difficulty the subject/participant has in lifting a heavy object (20 pounds / 10 kilograms) above his or her head Are you able to lift a heavy object (20 lbs/10 kg) above your head? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:53:44.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM12
C59738 Cut paper scissors difficulty scale CutPaprScssrsDifficultyScl Scale of the difficulty the subject/participant has in cutting paper with scissors Scale of the difficulty the subject/participant has in cutting paper with scissors Are you able to cut a piece of paper with scissors? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:17:39.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB20r1
C59834 Take part active sport health limit scale TakePartActivSportHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in active sports such as tennis or basketball Scale of the degree to which the subject/participant's health limits his or her ability to engage in active sports such as tennis or basketball Does your health now limit you in participating in active sports such as swimming, tennis, or basketball? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:37:56.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB51
C59770 Stand not lose balance difficulty scale StndNotLosBlnceDifficultyScl Scale of the difficulty the subject/participant has in standing for several minutes without losing his or her balance Scale of the difficulty the subject/participant has in standing for several minutes without losing his or her balance Are you able to stand without losing your balance for several minutes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:44:36.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC39
C59706 Don remove coat jacket difficulty scale DonRemovCoatJcktDiffcltyScl Scale of the difficulty the subject/participant has in donning or removing a coat or jacket Scale of the difficulty the subject/participant has in donning or removing a coat or jacket Are you able to put on and take off a coat or jacket? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 09:53:52.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA36
C59802 Leap 1 foot 30 centimeter vertical difficulty scale Lep1Ft30CmVrtclDffcltyScl Scale of the difficulty the subject/participant has in leaping 1 foot / 30 centimeter vertically Scale of the difficulty the subject/participant has in leaping 1 foot / 30 centimeter vertically Are you able to jump over an object that is 1 foot (30 cm) tall? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:23:27.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM26
C59813 Carry 50 pound 25 kilogram bag sand 25 yard 25 meter difficulty scale Cry50Pd25KgBgSd25Yd25MDffScl Scale of the difficulty the subject/participant has in carrying a bag of sand weighing 50 pounds / 25 kilograms a distance of 25 yards / 25 meters Scale of the difficulty the subject/participant has in carrying a bag of sand weighing 50 pounds / 25 kilograms a distance of 25 yards / 25 meters Are you able to carry a 50 lb (25 kg) bag of sand 25 yards (25 m)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:52:00.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM44
C59749 Open car door difficulty scale OpenCarDoorDifficultyScl Scale of the difficulty the subject/participant has in opening car doors Scale of the difficulty the subject/participant has in opening car doors Are you able to open car doors? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:43:16.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB31r1
C59685 Moderate chore difficulty scale ModrtChoreDifficultyScl Scale of the difficulty the subject/participant has in performing moderate chores (such as vacuuming or yard work) Scale of the difficulty the subject/participant has in performing moderate chores (such as vacuuming or yard work) Are you able to do chores such as vacuuming or yard work? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 12:50:37.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA11
C59781 Turn side to side bed difficulty scale TrnSidToSidBedDifficultyScl Scale of the difficulty the subject/participant has in turning from side to side while in bed Scale of the difficulty the subject/participant has in turning from side to side while in bed Are you able to turn from side to side in bed? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:28:54.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC52
C59717 Peel fruit difficulty scale PeelFruitDifficultyScl Scale of the difficulty the subject/participant has in peeling fruit Scale of the difficulty the subject/participant has in peeling fruit Are you able to peel fruit? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:17:39.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA48
C59728 Climb 5 step difficulty scale Climb5StepDifficultyScl Scale of the difficulty the subject/participant has in climbing up five steps Scale of the difficulty the subject/participant has in climbing up five steps Are you able to climb up five steps? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:45:28.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB10
C59824 Moderate housework health limit scale ModrtHswrkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:09:37.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB1
C59760 Walk block level surface difficulty scale WlkBlkLvlSfcDifficultyScl Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Are you able to walk a block (about 100 m) on flat ground? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:13:57.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC6r1
C59696 Walk 15 minute difficulty scale Walk15MinDifficultyScl Scale of the difficulty the subject/participant has in walking for at least 15 minutes Scale of the difficulty the subject/participant has in walking for at least 15 minutes Are you able to go for a walk of at least 15 minutes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 13:45:29.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA23
C59792 Hit backboard basketball free-throw line difficulty scale HitBckbrdBsktblFreThrLnDffScl Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Are you able to hit the backboard with a basketball from the free-throw line (13 ft/4 m)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:56:55.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM15
C59739 Pick up coin table top difficulty scale PickUpCoinTableTopDiffcltyScl Scale of the difficulty the subject/participant has in picking up coins from a table top Scale of the difficulty the subject/participant has in picking up coins from a table top Are you able to pick up coins from a table top? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:19:45.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB21r1
C59835 Take short trip outside home health limit scale TakShrtTrpOtsdHomHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Does your health now limit you in going OUTSIDE the home, for example to shop or visit a doctor's office? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:40:28.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB54
C59771 Kneel floor difficulty scale KneelFloorDifficultyScl Scale of the difficulty the subject/participant has in kneeling on the floor Scale of the difficulty the subject/participant has in kneeling on the floor Are you able to kneel on the floor? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:47:03.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC40
C59707 Stand short period time difficulty scale StndShrtPrdTimDifficultyScl Scale of the difficulty the subject/participant has in standing for short periods of time Scale of the difficulty the subject/participant has in standing for short periods of time Are you able to stand for short periods of time? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 09:55:57.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA37
C59803 Leap 3 feet 1 meter horizontal difficulty scale Lep3Ft1MHrztlDffcltyScl Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Are you able to jump over a puddle that is 3 feet (1 m) wide? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:25:53.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM29
C59814 Pull 100 pound 50 kilogram 100 yard 100 meter difficulty scale Pul100Pd50Kg100Yd100MDffScl Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters Are you able to pull a sled or a wagon with two children (total 100 lbs/50 kg) for 100 yards (100 m)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:54:54.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM48
C59750 Stand unsupport 10 minute difficulty scale StndUnsprt10MinDifficultyScl Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes Are you able to stand unsupported for 10 minutes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:45:15.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB32
C59686 Heavy door push open difficulty scale HeavyDoorPushOpenDiffScl Scale of the degree of difficulty the subject/participant has in pushing a heavy door open Scale of the degree of difficulty the subject/participant has in pushing a heavy door open Are you able to push open a heavy door? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 12:53:27.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA12
C59782 Get in out bed difficulty scale GetInOutBedDifficultyScl Scale of the difficulty the subject/participant has in getting in and out of bed Scale of the difficulty the subject/participant has in getting in and out of bed Are you able to get in and out of bed? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:31:47.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC53
C59718 Bend twist back difficulty scale BendTwistBackDifficultyScl Scale of the difficulty the subject/participant has in bending or twisting his or her back Scale of the difficulty the subject/participant has in bending or twisting his or her back Are you able to bend or twist your back? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:19:59.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA49
C59729 Wash dish pot utensil manual stand sink difficulty scale WshDshPotUtlMnlStdSnkDffScl Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink Are you able to wash dishes, pots, and utensils by hand while standing at a sink? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:55:17.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB11
C59825 Put trash bag out health limit scale PutTrshBagOutHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside Does your health now limit you in putting a trash bag outside? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:13:22.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB3
C59761 Run 5 mile 8 kilometer difficulty scale Run5Mi8KmDifficultyScl Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers Are you able to run five miles (8 km)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:16:45.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC7r1
C59697 Run over uneven ground difficulty scale RunOvrUnevnGrndDiffcltyScl Scale of the difficulty the subject/participant has in running over uneven ground Scale of the difficulty the subject/participant has in running over uneven ground Are you able to run on uneven ground? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 13:47:51.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA27
C59793 Pass 20 pound 10 kilogram dish table difficulty scale Pass20Pd10KgDshTblDffScl Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:59:50.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM16
C59740 Hold plate full food difficulty scale HoldPlatFullFoodDifficultyScl Scale of the difficulty the subject/participant has in holding a plate full of food Scale of the difficulty the subject/participant has in holding a plate full of food Are you able to hold a plate full of food? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:23:03.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB22
C59836 Open previously open jar health limit scale OpnPrvslyOpnJarHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened Does your health now limit you in opening a previously opened jar? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:43:28.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC8
C59772 Sit rise low sofa difficulty scale SitRiseLowSofaDifficultyScl Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa Are you able to sit down in and stand up from a low, soft couch? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:06:42.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC41
C59708 Dry back towel difficulty scale DryBackTowelDifficultyScl Scale of the difficulty the subject/participant has in drying his or her back with a towel Scale of the difficulty the subject/participant has in drying his or her back with a towel Are you able to dry your back with a towel? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 09:57:54.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA38
C59804 Jump 2 feet 60 centimeter vertical difficulty scale Jmp2Ft60CmVrtclDffcltyScl Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically Are you able to jump 2 feet (60 cm) high? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:29:06.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM32
C59815 Rise pushup position 5 time quickly difficulty scale RisPshpPstn5TmQcklyDffcltyScl Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly Are you able to stand up from a push-up position five times quickly? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:58:41.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM49
C59751 Remove item back pocket difficulty scale RemvItemBackPcktDifficultyScl Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants Are you able to remove something from your back pocket? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:47:50.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB33
C59687 Exercise 1 hour difficulty scale Exrcs1HourDifficultyScl Scale of the difficulty the subject/participant has in exercising for one hour Scale of the difficulty the subject/participant has in exercising for one hour Are you able to exercise for an hour? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 12:55:46.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA13
C59783 Dig 2 foot half meter hole shovel difficulty scale Dig2FtHlfMHolShvlDffcltyScl Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel Are you able to dig a 2-foot (1/2 m) deep hole in the dirt with a shovel? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:33:58.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM1
Displaying 1 - 50 of 165
CSV