CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: NIH Resources
CRF: PROMIS Item Bank v2.0 - Physical Function

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 Domain CDASH Variable CDASH Definition CDASH Label Controlled Terminology Prompt Essentiality Question Text CDASH imp guidance SDTM IG target csDSR PhenX Data Type CRF Completion Inst SDTMIG Target Var SDTMIG Target Map Codelist Name PVs Pre Pop Value Query Display List Style
C59736 Shave face apply makeup difficulty scale ShavFaceAplyMakupDifficultyScl Scale of the difficulty the subject/participant has in shaving his or her face or applying makeup Scale of the difficulty the subject/participant has in shaving his or her face or applying makeup Are you able to shave your face or apply makeup? 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 Supplemental 1.00 2019-06-20 11:12:32.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB18
C59832 Take shower health limit scale TakeShowerHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take a shower Scale of the degree to which the subject/participant's health limits his or her ability to take a shower Does your health now limit you in taking a shower? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 13:33:06.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB48
C59768 Run 10 mile 16 kilometer difficulty scale Run10Mi16KmDifficultyScl Scale of the difficulty the subject/participant has in running a distance of 10 miles / 16 kilometers Scale of the difficulty the subject/participant has in running a distance of 10 miles / 16 kilometers Are you able to run ten miles (16 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 Supplemental 1.00 2019-06-20 12:38:12.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC33r1
C59843 Get in out bathtub health limit scale GetInOutBathtubHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to get in and out of the bathtub Scale of the degree to which the subject/participant's health limits his or her ability to get in and out of the bathtub Does your health now limit you in getting in and out of the bathtub? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 13:59:30.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC54
C59704 Wash back difficulty scale WashBackDifficultyScl Scale of the difficulty the subject/participant has in washing his or her back Scale of the difficulty the subject/participant has in washing his or her back Are you able to wash 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 Supplemental 1.00 2019-06-19 14:05:29.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA34
C59800 Turn sharp run fast difficulty scale TrnShpRunFstDifficultyScl Scale of the difficulty the subject/participant has in turning sharply while running fast Scale of the difficulty the subject/participant has in turning sharply while running fast Are you able to make sharp turns while running fast? 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 Supplemental 1.00 2019-06-21 11:18:37.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM26
C59747 Lift full cup glass mouth difficulty scale LiftFulCupGlasMthDffcltyScl Scale of the difficulty the subject/participant has in lifting a full cup or glass to his or her mouth Scale of the difficulty the subject/participant has in lifting a full cup or glass to his or her mouth Are you able to lift a full cup or glass to your mouth? 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 Supplemental 1.00 2019-06-20 11:38:36.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB29r1
C59683 Bend down pick up clothing floor difficulty scale BndDwnPckUpClthngFlrDiffScl Scale of the difficulty the subject/participant has in bending down and picking up clothing from the floor Scale of the difficulty the subject/participant has in bending down and picking up clothing from the floor Are you able to bend down and pick up clothing from 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 Supplemental 1.00 2019-06-19 12:41:45.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA9
C59779 Water house plant difficulty scale WaterHousePlantDifficultyScl Scale of the difficulty the subject/participant has in watering a house plant Scale of the difficulty the subject/participant has in watering a house plant Are you able to water a house plant? 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 Supplemental 1.00 2019-06-21 10:24:27.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC49
C59715 Rise bed into chair difficulty scale RiseBedIntoChairDifficultyScl Scale of the difficulty the subject/participant has in rising from a bed into a chair Scale of the difficulty the subject/participant has in rising from a bed into a chair Are you able to get out of bed into a chair? 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 Supplemental 1.00 2019-06-20 10:13:43.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA45
C59811 Ascend 6 foot 2 meter ladder difficulty scale Asc6Ft2MLadrDifficultyScl Scale of the difficulty the subject/participant has in ascending a 6 foot/2 meter ladder Scale of the difficulty the subject/participant has in ascending a 6 foot/2 meter ladder Are you able to climb a 6-foot (2 m) ladder? 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 Supplemental 1.00 2019-06-21 11:47:15.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM40
C59822 Lift carry groceries health limit scale LiftCaryGrcrsHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to lift or carry groceries Scale of the degree to which the subject/participant's health limits his or her ability to lift or carry groceries Does your health now limit you in lifting or carrying groceries? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 13:04:45.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA5
C59758 Stand unsupport 30 minute difficulty scale StndUnsprt30MinDffcltyScl Scale of the difficulty the subject/participant has in standing unsupported for 30 minutes Scale of the difficulty the subject/participant has in standing unsupported for 30 minutes Are you able to stand unsupported for 30 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 Supplemental 1.00 2019-06-20 12:07:04.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB42
C59694 Cut food eating utensil difficulty scale CutFoodEatUtnslDiffcltyScl Scale of the difficulty the subject/participant has in cutting his or her food using eating utensils Scale of the difficulty the subject/participant has in cutting his or her food using eating utensils Are you able to cut your food using eating utensils? 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 Supplemental 1.00 2019-06-19 13:40:49.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA20
C59790 Do pull-up difficulty scale DoPullUpDifficultyScl Scale of the difficulty the subject/participant has in doing 1 pull-up Scale of the difficulty the subject/participant has in doing 1 pull-up Are you able to do a pull-up? 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 Supplemental 1.00 2019-06-21 10:51:57.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM10
C59726 Carry 2 bag groceries 100 yard 100 meter difficulty scale Crry2BgGrocrs100Yd100MDffScl Scale of the difficulty the subject/participant has in carrying 2 bags filled with groceries for a distance of 100 yards / 100 meters Scale of the difficulty the subject/participant has in carrying 2 bags filled with groceries for a distance of 100 yards / 100 meters Are you able to carry two bags filled with groceries 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 Supplemental 1.00 2019-06-20 10:35:00.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB8r1
C59737 Squeeze new tube toothpaste difficulty scale SqzNewTubTthpstDifficultyScl Scale of the difficulty the subject/participant has in squeezing a new tube of toothpaste Scale of the difficulty the subject/participant has in squeezing a new tube of toothpaste Are you able to squeeze a new tube of toothpaste? 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 Supplemental 1.00 2019-06-20 11:15:02.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB19r1
C59833 Go short walk health limit scale GoShortWalkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to go for a short walk (less than 15 minutes) Scale of the degree to which the subject/participant's health limits his or her ability to go for a short walk (less than 15 minutes) Does your health now limit you in going for a short walk (less than 15 minutes)? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 13:35:00.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB49
C59769 Walk normal speed difficulty scale WlkNrmlSpedDifficultyScl Scale of the difficulty the subject/participant has in walking at a normal speed Scale of the difficulty the subject/participant has in walking at a normal speed Are you able to walk at a normal speed? 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 Supplemental 1.00 2019-06-20 12:42:17.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC38
C59844 Walk around house health limit scale WalkAroundHouseHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to walk around the house Scale of the degree to which the subject/participant's health limits his or her ability to walk around the house Does your health now limit you in walking about the house? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 14:01:26.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC56
C59705 Pull zipper difficulty scale PullZipperDifficultyScl Scale of the difficulty the subject/participant has in pulling a zipper Scale of the difficulty the subject/participant has in pulling a zipper Are you able to open and close a zipper? 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 Supplemental 1.00 2019-06-20 09:51:35.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA35
C59801 Jump rope 10 minute no stop difficulty scale JmpRop10MinNoStpDffcltyScl Scale of the difficulty the subject/participant has in jumping rope for 10 minutes without stopping Scale of the difficulty the subject/participant has in jumping rope for 10 minutes without stopping Are you able to jump rope for 10 minutes without stopping? 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 Supplemental 1.00 2019-06-21 11:21:10.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM27
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 Supplemental 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 Supplemental 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 Supplemental 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 Supplemental 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
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 Supplemental 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
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 Supplemental 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 Supplemental 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 Supplemental 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 Supplemental 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
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 Supplemental 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
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 Supplemental 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 Supplemental 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 Supplemental 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
C59845 Difficulty do daily physical activity because health scale DffcltyDoDlyPhysActBcHlthScl Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health How much difficulty do you have doing your daily physical activities, because of your health? 3;2;1;4;5 Some Difficulty;A Lot of Difficulty;Cannot do because of health;A little bit of difficulty;No difficulty at all Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 14:05:35.0 PROMIS Item Bank v2.0 - Physical Function NIH Resources NIH Resources

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB50
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 Supplemental 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 Supplemental 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
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 Supplemental 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 Supplemental 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 Supplemental 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 Supplemental 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
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 Supplemental 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
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 Supplemental 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 Supplemental 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 Supplemental 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 Supplemental 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
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 Supplemental 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
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 Supplemental 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 Supplemental 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
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