Activity | 0-24% Occasionally |
25-49% Sometimes |
50-74% Regularly |
75-100% Frequently |
Seeing | X | |||
Hearing | X | |||
Sitting | X | |||
Standing, walking, or mobility for long periods of time | X | |||
Climbing, stooping or kneeling | X | |||
Lifting, pulling, or pushing up to 20 pounds without assistance | X | |||
Lifting, pulling, or pushing up to 50 pounds without assistance | X | |||
Fingering, grasping, feeling | ||||
Other: |