Activity Minimal Hard Very Hard Can Not Do: NO Difficulties Difficulties

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NO MINIMAL

ACTIVITY HARD VERY HARD CAN NOT DO


DIFFICULTIES DIFFICULTIES

Lying in bed 5 4 3 2 1

Sitting in the bed 5 4 3 2 1

Getting out of bed 5 4 3 2 1

Walking 5 4 3 2 1

Climbing the stairs 5 4 3 2 1

Starting school/ kindergarten 5 4 3 2 1

Easy physical activity


5 4 3 2 1
(walking)

Moderate physical activity


5 4 3 2 1
(sport at school)

Heavy physical activity


5 4 3 2 1
(doing sports)

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