Get The Duke Activity Status Index Is A Self-administered Questionnaire That Measures A Patient's Functional 2020-2025

The Duke Activity Status Index is a valuable self-administered questionnaire designed to measure a person's functional capacity. By filling out this form online, users can effectively assess their physical capabilities and gain insights into their health status.

Follow the steps to complete the Duke Activity Status Index questionnaire online.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
2. Begin with the first question, which asks if you can take care of yourself by performing basic activities such as eating, dressing, bathing, or using the toilet. Select ‘Yes’ or ‘No’ depending on your ability.
3. Proceed to the next question regarding your ability to walk indoors, like around your house. Again, mark ‘Yes’ or ‘No’ as appropriate.
4. Continue answering questions related to your mobility, including walking a block or two on level ground and climbing stairs or walking up a hill, by selecting ‘Yes’ or ‘No’.
5. Answer the questions about your capacity to run short distances and perform light housework, such as dusting or washing dishes, using the same ‘Yes’ or ‘No’ format.
6. Move on to questions relating to moderate and heavy work around the house, such as vacuuming and carrying groceries, again answering with ‘Yes’ or ‘No’.
7. Provide your answers for questions about yard work, sexual relations, and participation in recreational activities, marking ‘Yes’ or ‘No’ for each.
8. Finally, calculate your Duke Activity Status Index score by summing the number of ‘Yes’ responses. Use this total to derive other health metrics as outlined in the form.
9. Once completed, ensure all information is accurate and save your changes. You may choose to download, print, or share the completed form as needed.

Begin filling out the Duke Activity Status Index questionnaire online today.