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Promis Pediatric Bank Gen Pop V3.0 Mobility

PROMIS Pediatric Bank GenPop v3.0 - Mobility

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PROMIS Pediatric Bank GenPop v3.0 - Mobility
Form

Outstanding Tasks0

Complete Tasks Below
Click on the items below to complete.

Promis Pediatric Bank Gen Pop V3.0 Mobility

PROMIS Pediatric Bank GenPop v3.0 - Mobility

Form

PROMIS Pediatric Bank GenPop v3.0 - Mobility
Form

PROMIS Pediatric Bank GenPop v3.0 - Mobility


Please respond to each question or statement by marking one box per row. In the past 7 days...

I could do sports and exercise that other kids my age could do

I could get up from the floor

I could keep up when I played with other kids

I could move my legs

I could stand up by myself

I could stand up on my tiptoes

I could walk up stairs without holding on to anything

I have been physically able to do the activities I enjoy moth

I could ride a bike

I could get in and out of a car

I could walk more than one block

I could walk across the room

I could get out of bed by myself

I could get into bed by myself

I could get down on my knees without holding on to something

I could carry my books in my backpack

I could get up from a regular toilet

I could go up one step

I could turn my head all the way to the side

I could run a mile

I could bend over to pick something up

I could jump up and down

I used a wheelchair to get around

I used a walker, cane or crutches to get around

With no trouble
With a little trouble
With some trouble
With a lot of trouble
Not able to do
I could do sports and exercise that other kids my age could do
I could get up from the floor
I could keep up when I played with other kids
I could move my legs
I could stand up by myself
I could stand up on my tiptoes
I could walk up stairs without holding on to anything
I have been physically able to do the activities I enjoy moth
I could ride a bike
I could get in and out of a car
I could walk more than one block
I could walk across the room
I could get out of bed by myself
I could get into bed by myself
I could get down on my knees without holding on to something
I could carry my books in my backpack
I could get up from a regular toilet
I could go up one step
I could turn my head all the way to the side
I could run a mile
I could bend over to pick something up
I could jump up and down
I used a wheelchair to get around
I used a walker, cane or crutches to get around
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