Pain/Activity Survey

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Bending

Care - Infirm Family

Carrying Groceries

Change Posn-Sit-Stand

Climb Stairs

Driving

Extended Computer Use

Feeding

Household Chores

Kneeling

Lift Children

Lifting

Pet Care

Reading (Concentration)

Self Care

Self Care Bathing

Self Care Dressing

Self Care Shaving

Sexual Activities

Sleep

Static Sitting

Static Standing

Walking

Yard Work