CMS-P-0015A Physical_Measures

2021 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.

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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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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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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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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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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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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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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

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