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Total # of Questions: 13

PROMIS parent proxy item bank - strength impact - version 1.0 [91338-4]

Date Done

Time Done

Where Done

Comment

Name

Value

Units

In the past 7 days - How many days was your child strong enough to carry heavy things with his/her hands? [91337-6]

In the past 7 days - How many days was your child strong enough to go up and down stairs? [91336-8]

In the past 7 days - How many days was your child strong enough to reach above his/her head to get heavy things? [91335-0]

In the past 7 days - How many days was your child strong enough to open a heavy door? [91334-3]

In the past 7 days - How many days was your child strong enough to hold a full plate or tray of food? [91333-5]

In the past 7 days - How many days was your child strong enough to get out of bed and stand without help? [91332-7]

In the past 7 days - How many days was your child strong enough to jump up and down? [91331-9]

In the past 7 days - How many days was your child strong enough to pour a drink from a full pitcher or carton? [91330-1]

In the past 7 days - How many days was your child strong enough to open a jar by himself or herself? [91329-3]

In the past 7 days - How many days was your child strong enough to carry his/her school books? [91328-5]

In the past 7 days - How many days was your child strong enough to get down on the floor? [91327-7]

In the past 7 days - How many days was your child strong enough to lift heavy things over his/her head? [91326-9]

PROMIS parent proxy strength impact - version 1.0 T-score [91339-2]

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