This assessment will help you evaluate your ability to perform daily activities like bending, reaching, and general movement. Answer each question honestly and score yourself based on the points provided.

How Well Can I Move Through Daily Tasks?

Yes, easily and without pain.

Yes, but with slight discomfort.

No, it’s difficult or painful.

Can you bend down to pick up a small object from the floor without discomfort?

Yes, easily and comfortably.

Yes, but with some strain or stiffness.

No, it feels difficult or restricted.

Can you reach overhead to take an item off a high shelf?

Yes, I feel completely stable.

Mostly, but I sometimes feel unsteady.

No, I often lose my balance.

Do you feel balanced and steady when walking on uneven surfaces?

Yes, without any difficulty.

Yes, but I need to use my hands occasionally.

No, I find it very challenging.

Can you squat down and stand back up without using your hands for support?

Yes, I can twist easily.

Yes, but I feel some stiffness.

No, it’s uncomfortable or painful.

Do you feel comfortable twisting your torso to look behind you?

Yes, easily and without strain.

Yes, but it feels challenging.

No, I struggle to do so.

Can you sit cross-legged on the floor and stand up without assistance?

Very easy, I don’t feel out of breath or tired.

Somewhat easy, but I get tired quickly.

Difficult, I avoid stairs if possible.

How easy is it for you to climb stairs without stopping?

Yes, without any issues.

Yes, but I feel some strain.

No, it’s uncomfortable or too heavy for me.

Can you carry a moderately heavy bag (e.g., groceries) without discomfort?

Yes, without any problem.

Yes, but it feels slightly stiff.

No, it’s very uncomfortable or I avoid doing it.

Can you bend your knees to tie your shoes comfortably?

Yes, I can do them comfortably.

Yes, but I feel stiff or tired afterward.

No, I often avoid or struggle with them.

Do you feel energetic and flexible enough to perform household chores?

Very easily.

Somewhat easily, but it takes effort.

It’s challenging or uncomfortable.

How easily can you get in and out of bed or a car?

Yes, with ease.

Yes, but with some wobbling.

No, I find it difficult.

Can you balance on one leg for at least 10 seconds?

Yes, I can touch my toes easily.

I can reach near my toes.

No, I struggle to reach far.

Can you reach down to touch your toes without bending your knees?

No, I can get up comfortably.

Yes, but it’s mild.

Yes, it’s significant or I need support.

Do you feel any stiffness or discomfort when getting out of a chair?

Very well, without stiffness.

Fairly well, with some stiffness.

It’s uncomfortable or restricted.

How well can you turn your neck to look over your shoulder?

Limited mobility and significant discomfort. Consider focusing on flexibility, balance, and strength exercises. Consulting a physiotherapist may also be helpful.



Good mobility with minor stiffness or discomfort. Incorporate stretching and strengthening exercises to improve flexibility and ease of movement.

GOOD

Excellent mobility and function! Your daily movements are smooth and pain-free. Keep up your current routine to maintain your health.

EXCELLENT

How Well Can I Move Through Daily Tasks?

Brilliantly

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