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pdf2021 MCBS Community Questionnaire
Variable Name
MR Screen Name
PXQ- PHYSICAL MEASURES
Question type
Question text/description
Code list
Routing
PHYSICAL MEASURES QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=C001, C002, C003, C004, C005, C006, C010
SPALIVE=1
SEASON=FALL, SUMMER
SPPROXY=SP
Other: N/A
PLACEMENT
If INTTYPE in(C003), administer after HFQ.
If INTTYPE in(C001, C002, C004, C005, C006, C010), administer after CPQ.
IF R IS IN A WHEELCHAIR OR CANNOT STAND, SELECT "(02) R CANNOT PARTICIPATE" WITHOUT
READING TEXT BELOW.
Now I am going to ask you to do a few simple activities. Researchers are
interested in how performance on these activities relates to some of the other factors I
have asked you about in the interview.
PHYSINTRO
PHYSINTRO
no entry
(01) CONTINUE
(02) R CANNOT PARTICIPATE (IN
I will ask you to do these activities: height and weight measurements, a balance test, a walking test, a standing WHEELCHAIR, CAN’T STAND)
test, and a test of hand strength.
(01) HWTINTRO
(02) GRPSTART
My primary concern is for your safety, so I will ask you if you feel it would be safe for
you to complete each activity. I will describe these measurements and ask if you would feel comfortable and
safe completing each of the measurements. We will then complete the measurements one after the other.
Let's start by measuring your height.
HGTINTRO
HGTINTRO
code one
I will ask you to stand up straight against the wall with your feet together. Then, I will mark your height on the
wall using a sticky note and ask you to step away. I will then measure from the sticky note to the floor.
Is there any reason why you feel you cannot participate?
(01) CONTINUE
(02) R CANNOT OR WILL NOT
PARTICIPATE
(01) HGTMEASU
(02) HGTREASN
(01) continuous answer
(996) TEST COULD NOT BE
COMPLETED
(01) WGTINTRO
(996) HGTREASN
[IF R REFUSES TO ATTEMPT THE MEASURE, CODE (02) R CANNOT OR WILL NOT PARTICIATE]
HGTMEASU
HGTMEASU
verbatim text
RECORD HEIGHT TO THE NEAREST HALF-INCH.
Page 1 of 12
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PXQ- PHYSICAL MEASURES
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED.
HGTREASN
HGTREASN
code one
[IF THE RESPONDENT REFUSED TO ATTEMPT THE MEASURE, SELECT "REFUSED."]
HGTREAOS
HGTREAOS
verbatim text
WHAT IS THE PRIMARY REASON THE RESPONDENT CANNOT OR WILL NOT PARTICIPATE IN THIS
MEASURE?
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01) - (06), (-8), (-9) WGTINTRO
UNSAFE
(91) HGTREAOS
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
(01) Continuous answer
WGTINTRO
(01) CONTINUE
(02) R CANNOT OR WILL NOT
PARTICIPATE
(01) WGTMEASU
(02) WGTREASN
Now, we will measure your weight.
WGTINTRO
WGTINTRO
code one
I will ask you to stand on the scale and stand still. Once I have recorded the weight, I will ask you to step off of
the scale.
Is there any reason why you feel you cannot participate?
[IF R REFUSES TO ATTEMPT THE MEASURE, CODE (02) R CANNOT OR WILL NOT PARTICIATE]
WGTMEASU
WGTREASN
WGTMEASU
WGTREASN
verbatim text
code one
RECORD WEIGHT TO THE NEAREST TENTH OF A POUND
(01) continuous answer
(996) TEST COULD NOT BE
COMPLETED
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED.
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01) - (06), (-8), (-9) BALINTRO
UNSAFE
(91) WGTEXCLD
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
(01) BALINTRO
(996) WGTREASN
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WGTEXCLD
WGTEXCLD
verbatim text
BALINTRO
BALINTRO
no entry
WHAT IS THE PRIMARY REASON THE RESPONDENT CANNOT OR WILLNOT PARTICIPATE IN THIS
MEASURE?
Next I am going to ask you to do a few simple activities for me, starting with a balance measure. Let me first
demonstrate this measure. After I demonstrate the measure, please tell me if you cannot do a particular
movement or if you feel it would be unsafe to try and do it.
(01) Continuous answer
BALINTRO
(01) CONTINUE
(02) R CANNOT OR WILL NOT
PARTICIPATE
(01) BALPOS1
(02) BALREAS1
(01) NUMBER OF SECONDS HELD:
_____
[996] TEST COULD NOT BE
COMPLETED
If (1) >= 10 seconds, go to BALPOS2;
(996) BALREAS1
[IF R REFUSES TO ATTEMPT THE MEASURE, CODE (02) R CANNOT OR WILL NOT PARTICIATE]
SHOW CARD PX1
DEMONSTRATE FIRST POSITION WHILE EXPLAINING POSITION
STAND WITH FEET TOGETHER, SIDE-BY-SIDE FOR 10 SECONDS
TRY NOT TO MOVE YOUR FEET
TRY TO HOLD THIS POSITION UNTIL I TELL YOU TO STOP
ASK R TO STAND IN FIRST POSITION
ONCE R IS IN POSITION, SAY ‘BEGIN’ AND START TIMING
BALPOS1
BALPOS1
code one
TIME THE FIRST POSITION
PUSH ‘START/STOP’ BUTTON WHEN YOU SAY ‘BEGIN’
PUSH ‘START/STOP’ BUTTON AND SAY ‘STOP’ AFTER 10 SECONDS, OR
PUSH ‘START/STOP’ BUTTON IF RESPONDENT STEPS OUT OF THE POSITION BEFORE 10
SECONDS
WHEN R IS IN FIRST POSITION:
Are you ready?
WHEN R IS READY, PUSH ‘START/STOP’ AND SAY:
Begin
BALREAS1
BALREAS1
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) WALINTRO
UNSAFE
(91) BALREOS1
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
BALREOS1
BALREOS1
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
WALINTRO
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PXQ- PHYSICAL MEASURES
SHOW CARD PX2
DEMONSTRATE SECOND POSITION WHILE EXPLAINING POSITION
STAND WITH THE HEEL OF ONE FOOT TOUCHING THE SIDE OF THE BIG TOE OF THE OTHER FOOT
FOR 10 SECONDS
TRY NOT TO MOVE YOUR FEET
TRY TO HOLD THIS POSITION UNTIL I TELL YOU TO STOP
ASK R TO STAND IN SECOND POSITION
ONCE R IS IN POSITION, SAY ‘BEGIN’ AND START TIMING
BALPOS2
BALPOS2
code one
TIME THE SECOND POSITION
PUSH ‘START/STOP’ BUTTON WHEN YOU SAY ‘BEGIN’
PUSH ‘START/STOP’ BUTTON AND SAY ‘STOP’ AFTER 10 SECONDS, OR
PUSH ‘START/STOP’ BUTTON IF RESPONDENT STEPS OUT OF THE POSITION BEFORE 10
SECONDS
(01) NUMBER OF SECONDS HELD:
_____
[996] TEST COULD NOT BE
COMPLETED
If (1) >= 10 seconds, go to BALPOS3;
(996) BALREAS2
WHEN R IS IN SECOND POSITION:
Are you ready?
WHEN R IS READY, PUSH ‘START/STOP’ AND SAY:
Begin
BALREAS2
BALREAS2
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) WALINTRO
UNSAFE
(91) BALREOS2
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
BALREOS2
BALREOS2
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
WALINTRO
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PXQ- PHYSICAL MEASURES
SHOW CARD PX3
DEMONSTRATE THIRD POSITION WHILE EXPLAINING POSITION
STAND WITH THE HEEL OF ONE FOOT IN FRONT OF AND TOUCHING THE TOES OF THE OTHER
FOOT FOR 10 SECONDS
TRY NOT TO MOVE YOUR FEET
TRY TO HOLD THIS POSITION UNTIL I TELL YOU TO STOP
ASK R TO STAND IN THIRD POSITION
ONCE R IS IN POSITION, SAY ‘BEGIN’ AND START TIMING
BALPOS3
BALPOS3
code one
TIME THE THIRD POSITION
PUSH ‘START/STOP’ BUTTON WHEN YOU SAY ‘BEGIN’
PUSH ‘START/STOP’ BUTTON AND SAY ‘STOP’ AFTER 10 SECONDS, OR
PUSH ‘START/STOP’ BUTTON IF RESPONDENT STEPS OUT OF THE POSITION BEFORE 10
SECONDS
(01) NUMBER OF SECONDS HELD:
_____
[996] TEST COULD NOT BE
COMPLETED
(01)-(06), (-8), (-9) WALINTRO
(91) BALREAS3
WHEN R IS IN THIRD POSITION:
Are you ready?
WHEN R IS READY, PUSH ‘START/STOP’ AND SAY:
Begin
BALREAS3
BALREAS3
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) WALINTRO
UNSAFE
(91) BALREOS3
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
BALREOS3
BALREOS3
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
WALINTRO
Now I am going to observe how you normally walk. If you use a cane or other walking aid and you feel you need
it to walk a short distance, then you may use it. First, let me demonstrate this measure.
WALINTRO
WALINTRO
no entry
(01) CONTINUE
After I demonstrate the measure, please tell me if you cannot do a particular movement or if you feel it would be (02) R CANNOT OR WILL NOT
unsafe to try and do it.
PARTICIPATE
(01) WALKTIM1
(02) WALKREAS1
[IF R REFUSES TO ATTEMPT THE MEASURE, CODE (02) R CANNOT OR WILL NOT PARTICIATE]
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PXQ- PHYSICAL MEASURES
USE PRE-CUT STRING TO MEASURE DISTANCE ON THE FLOOR
DEMONSTRATE THE WALK WHILE PROVIDING INSTRUCTIONS
STAND WITH TOES TOUCHING THE BEGINNING OF THE STRING
START WALKING WHEN I SAY BEGIN
WALK AT YOUR USUAL PACE
WALK PAST THE END OF THE STRING BEFORE YOU STOP
ALLOW R TO USE HIS/HER WALKING AID (CANE OR WALKER)
WALKTIM1
WALKTIM1
code one
ASK R TO STAND AT BEGINNING OF STRING
(01) ABLE TO DO (SPECIFY
SECONDS): ______
[996] TEST COULD NOT BE
COMPLETED
(01) WALKTIM2
(996) WALKREAS1
When I say “Begin” you may start walking.
PUSH ‘START/STOP’ AND SAY:
‘Begin’
PUSH ‘START/STOP’ WHEN ONE OF R’S FEET IS COMPLETELY ACROSS THE OTHER END OF THE
STRING
WALKREAS1
WALKREAS1
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) CSINTRO
UNSAFE
(91) WALKOS1
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
WALKOS1
WALKOS1
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
CSINTRO
(01) ABLE TO DO (SPECIFY
SECONDS): ______
[996] TEST COULD NOT BE
COMPLETED
(01) WALKPROB
(996) WALKREAS2
ASK RESPONDENT TO REPEAT WALK, FROM THE END OF THE STRING BACK TO THE BEGINNING OF
THE STRING
When I say “Begin” you may start walking.
WALKTIM2
WALKTIM2
code one
PUSH ‘START/STOP’ AND SAY:
‘Begin’
PUSH ‘START/STOP’ WHEN ONE OF R’S FEET IS COMPLETELY ACROSS THE OTHER END OF THE
STRING
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WALKREAS2
WALKREAS2
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) CSINTRO
UNSAFE
(91) WALKOS2
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
WALKOS2
WALKOS2
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
CSINTRO
code all
RECORD YOUR OBSERVATIONS OF THE R'S MEASURE. CHECK ALL THAT APPLY.
(01) R WALKED UNSTEADILY
(02) R LIMPED, SHUFFLED OR
DRAGGED A LEG
(03) R USED A CANE
(04) R USED WALKER
(05) R STATED IT’S PAINFUL
(06) NOTHING APPLIES
CSINTRO
no entry
Now I am going to ask you to stand up from a chair without using your arms. First, let me demonstrate this
measure. After I demonstrate the measure, please tell me if you cannot do this movement or if you feel it would (01) CONTINUE
be unsafe to try.
(02) R CANNOT OR WILL NOT
PARTICIPATE
[IF R REFUSES TO ATTEMPT THE MEASURE, CODE (02) R CANNOT OR WILL NOT PARTICIATE]
WALKPROB
CSINTRO
SNGLCS
WALKPROB
CSINTRO
SNGLCS
code one
DEMONSTRATE CHAIR STAND WHILE PROVIDING INSTRUCTIONS
SIT IN CHAIR WITH YOUR FEET ON THE FLOOR. SIT SO THAT YOU CAN PLACE THE WIDTH OF
YOUR HANDS BETWEEN THE CHAIR AND YOUR KNEES.
FOLD YOUR ARMS ACROSS YOUR CHEST
STAND UP, KEEPING YOUR ARMS FOLDED ACROSS YOUR CHEST
(01) SNGLCS
(02) SNGLREAS
(01) R STOOD WITHOUT USING ARMS
(01) CSINTRO2
[996] TEST COULD NOT BE
(03) SNGLREAS
COMPLETED
When I say ‘Begin’ you may stand up straight from the chair.
IF R CANNOT RISE WITHOUT USING ARMS, ASK R TO TRY TO STAND UP USING ARMS
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SNGLREAS
SNGLREAS
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) GRPSTART
UNSAFE
(91) SNGLCSOS
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
SNGLCSOS
SNGLCSOS
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
GRPSTART
CSINTRO2
CSINTRO2
no entry
Now I'm going to ask you to stand up and sit down as quickly as you can five times, keeping your arms folded
across your chest. I'm going to demonstrate one for you.
(01) CONTINUE
RPTDCS
DEMONSTRATE 1 CHAIR STAND WHILE PROVIDING INSTRUCTIONS
SIT IN CHAIR WITH YOUR FEET ON THE FLOOR
FOLD YOUR ARMS ACROSS YOUR CHEST
STAND UP AND SIT DOWN ONCE
TELL R TO REPEAT THAT 4 MORE TIMES
When I say “Begin” you may stand up.
RPTDCS
RPTDCS
code one
PUSH ‘START/STOP’ AND SAY ‘Begin’
(01) TIME TO COMPLETE FIVE STANDS
(01) GRPSTART
(SPECIFY SECONDS): ______
(996) CSREAS
[996] TEST COULD NOT BE
COMPLETED
COUNT OUT LOUD AS RESPONDENT ARISES EACH TIME
PUSH ‘START/STOP’ WHEN R HAS COMPLETELY STOOD UP FROM THE CHAIR FOR THE 5TH TIME
STOP THE EXERCISE EARLY IF R CANNOT RISE WITHOUT USING ARMS, R IS TOO TIRED TO
CONTINUE, OR R IS UNABLE TO COMPLETE AFTER 1 MINUTE
CSREAS
CSREAS
code one
CODE THE PRIMARY REASON WHY THE TEST COULD NOT BE COMPLETED
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
(01)-(06), (-8), (-9) GRPSTART
UNSAFE
(91) CSOS
(05) NOT ATTEMPTED, R FELT
UNSAFE
(06) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
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CSOS
CSOS
verbatim text
GRPSTART
GRPSTART
code one
OTHER (SPECIFY)
IF R IS MISSING BOTH OF THEIR HANDS, SELECT "(02) R CANNOT PARTICIPATE" WITHOUT READING
TEXT BELOW.
Now I would like to assess the strength of your hand in a gripping action.
MSNGHAND
MSNGHAND
code one
IF R IS OBVIOUSLY MISSING ONE HAND, SELECT WHICH HAND IS MISSING. IF R IS NOT OBVIOUSLY
MISSING A HAND, SELECT "CONTINUE"
IF SP IS OBVIOUSLY MISSING A HAND OR ARM, SELECT THE REMAINING HAND AND DO NOT ASK.
OTHERWISE, ASK:
DOMNHAND
DOMNHAND
code one
Which is your dominant hand?
[If Needed: Which hand do you use to hold a pencil?]
(01) [Continuous answer]
GRPSTART
(01) CONTINUE
(02) R CANNOT PARTICIPATE
(MISSING BOTH HANDS)
(01) MSNGHAND
(02) BOX PXEND
(01) R IS MISSING RIGHT HAND
(02) R IS MISSING LEFT HAND
(03) CONTINUE
DOMNHAND
(01) Right
(02) Left
(03) Both hands equally dominant
(-8) DON'T KNOW
(-9) REFUSED
GRPINTRO
Now we will measure your grip strength
We will use this machine [SHOW DYNAMOMETER] to measure how strong your hands are.
GRPINTRO
GRPINTRO
code one
You will squeeze the handle 2 times [per hand], one practice and one test trial, while your arm is at your side
and your elbow is bent like this [DEMONSTRATE 90 DEGREES].
(01) CONTINUE
(01) BOX PX1
The handle won’t move, but the machine will show how hard you squeezed. [PRESS RESET AND TEST,
THEN SQUEEZE TO DEMONSTRATE].
See? [SHOW RESPONDENT THE FORCE MEASUREMENT].
BOX PX1
If MSNGHAND = 01 (RIGHT) go to LHANDPRC
Else, go to RHANDPRC
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PXQ- PHYSICAL MEASURES
SHOW CARD PX4
Let’s practice with your RIGHT hand.
Is there any reason why you feel you cannot participate with your right hand? The items on this card list some
examples of reasons why you should not participate.
IF RESPONDENT HAS ANY OF THE CONDITIONS LISTED ON SHOWCARD PX4 FOR THEIR RIGHT
HAND, SELECT CONTINUE WITHOUT COMPLETING THE PRACTICE TRIAL
RHANDPRC
RHANDPRC
no entry
When I say ‘squeeze,’ I want you to squeeze the handle hard, but not as hard as you can.
(01) CONTINUE
(01) BOX PX2
[If Needed: We are starting with the right hand, even if you are not right handed.]
[SUPPORT DYNAMOMETER DURING PRACTICE]
Ready? 3-2-1-squeeze. [HOLD FOR 3-4 SECONDS]
Stop.
[PRESS RESET AND TEST ON DYNAMOMETER BEFORE CONTINUING]
If MSNGHAND = 02 (LEFT) go to RHANDTST
Else, go to LHANDPRC
BOX PX2
SHOW CARD PX4
Let’s practice with your LEFT hand.
Is there any reason why you feel you cannot participate with your left hand? The items on this card list some
examples of reasons why you should not participate.
IF RESPONDENT HAS ANY OF THE CONDITIONS LISTED ON SHOWCARD PX4 FOR THEIR LEFT HAND,
SELECT CONTINUE WITHOUT COMPLETING THE PRACTICE TRIAL
LHANDPRC
LHANDPRC
no entry
(01) CONTINUE
When I say ‘squeeze,’ I want you to squeeze the handle hard, but not as hard as you can.
(01) BOX PX3
[SUPPORT DYNAMOMETER DURING PRACTICE.]
Ready? 3-2-1-squeeze. [HOLD FOR 3-4 SECONDS]
Stop.
[PRESS RESET AND TEST ON DYNAMOMETER BEFORE CONTINUING]
BOX PX3
If MSNGHAND = 01 (RIGHT) go to LHANDTST
Else, go to RHANTST
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PXQ- PHYSICAL MEASURES
IF RESPONDENT HAS ANY OF THE CONDITIONS LISTED ON SHOWCARD PX4 FOR THEIR RIGHT HAND,
SELECT "TEST COULD NOT BE COMPLETED" WITHOUT CONDUCTING THE TEST
Now we’re going to test your RIGHT hand. When I say ‘squeeze,’ this time I want you to squeeze the handle as
hard as you can.
RHANDTST
RHANDTST
code one
[SUPPORT DYNAMOMETER DURING TEST]
Ready? 3-2-1-squeeze! Harder, harder, harder! [HOLD FOR 3-4 SECONDS]
(01) continuous answer
(996) TEST COULD NOT BE
COMPLETED
(01) BOX PX4
(996) RHDREASN
Stop.
[RECORD FORCE TO NEAREST TENTH OF A POUND]
[PRESS RESET AND TEST ON DYNAMOMETER]
If MSNGHAND = 02 (LEFT) go to BOX PXEND
Else, go to LHANDTST
BOX PX4
RHDREASN
RHDREASN
code one
REASON WHY CANNOT BE COMPLETED FOR RIGHT HAND
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
UNSAFE
(01)-(07), (-8), (-9) BOX PX4
(05) NOT ATTEMPTED, R FELT
(91) RHDRSNOS
UNSAFE
(06) NOT ATTEMPTED, R MET
EXCLUSION CRITERIA
(07) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
RHDRSNOS
RHDRSNOS
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
BOX PX4
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PXQ- PHYSICAL MEASURES
IF RESPONDENT HAS ANY OF THE CONDITIONS LISTED ON SHOWCARD PX4 FOR THEIR LEFT HAND,
SELECT "TEST COULD NOT BE COMPLETED" WITHOUT CONDUCTING THE TEST AND TURN OFF THE
DYNAMOMETER.
Now we’re going to test your LEFT hand. When I say ‘squeeze,’ this time I want you to squeeze the handle as
hard as you can.
LHANDTST
LHANDTST
code one
[SUPPORT DYNAMOMETER DURING TEST]
(01) continuous answer
(996) TEST COULD NOT BE
COMPLETED
(01) BOX PXEND
(996) LHDREASN
Ready? 3-2-1-squeeze! Harder, harder, harder! [HOLD FOR 3-4 SECONDS]
Stop.
[RECORD FORCE TO NEAREST TENTH OF A POUND]
[TURN OFF THE DYNAMOMETER]
LHDREASN
LHDREASN
code one
REASON WHY CANNOT BE COMPLETED FOR LEFT HAND
(01) EQUIPMENT PROBLEM
(02) NO SUITABLE SPACE TO
CONDUCT THE MEASURE
(03) R UNABLE TO UNDERSTAND
INSTRUCTIONS
(04) NOT ATTEMPTED, FI FELT IT WAS
UNSAFE
(01)-(07), (-8), (-9) BOX PXEND
(05) NOT ATTEMPTED, R FELT
(91) LHDRSNOS
UNSAFE
(06) NOT ATTEMPTED, R MET
EXCLUSION CRITERIA
(07) ATTEMPTED, UNABLE TO DO
(91) OTHER
(-8) DON'T KNOW
(-9) REFUSED
LHDRSNOS
LHDRSNOS
verbatim text
OTHER (SPECIFY)
(01) [Continuous answer]
BOX PXEND
routing
IF SEASON=FALL, GO TO NAQ.
IF SEASON=SUMMER, GO TO IAQ.
BOX PXEND
Page 12 of 12
File Type | application/pdf |
File Title | PXQ.xlsx |
Author | Wishart-Marisa |
File Modified | 2020-08-26 |
File Created | 2020-08-26 |