Please respond to the following questions about your physical health. Prefer not Yes No to answer a. Are you deaf or do you have serious difficulty hearing? ...............................    b. Are you blind or do you have serious difficulty seeing, even when wearing: measure 5478

Please respond to the following questions about your physical health. Prefer not Yes No to answer a. Are you deaf or do you have serious difficulty hearing? ...    b. Are you blind or do you have serious difficulty seeing, even when wearing

RequiredotherA5

Tier not determined

No rule matched this measure, so no tier is guessed.

Answer categories: glasses? ... | c. Because of a physical, mental, or emotional condition, do you have serious | difficulty concentrating, remembering, or making decisions? ... | d. Do you have serious difficulty walking or climbing stairs? ...    | e. Do you have difficulty dressing or bathing? ...    | f. Because of a physical, mental, or emotional condition, do you have | difficulty doing errands alone such as visiting a doctor’s office or shopping?

Instrument: SUPRT-C
Reporting: baseline
Target: No target rule stated

Source document, 5

Measure 5478

Please respond to the following questions about your physical health. Prefer not Yes No to answer a. Are you deaf or do you have serious difficulty hearing? ...    b. Are you blind or do you have serious difficulty seeing, even when wearing

Grantee precedent for this measure