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Upper Extremity Functional Index (UEFI) – Smart Health Training

Upper Extremity Functional Index (UEFI)

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Upper Extremity Functional Index (UEFI)
We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Please provide an answer for each activity.
Nameyour full name
Today, do you or would you have any difficulty at all with:
Extreme difficulty or unable to perform activityQuite a bit of difficulty Moderate difficulty A little bit of difficulty No difficulty
1. Any of your usual work, housework or school activities
2. Your usual hobbies, recreational or sporting activities.
3. Lifting a bag of groceries to waist Level
4. Lifting a bag of groceries to waist Level
5. Grooming your hair
6. Pushing up on your hands (eg, from bathtub or chair)
7. Preparing food (eg, peeling, cutting)
8. Driving
9. Vacuuming, sweeping or raking
10. Dressing
11. Doing up buttons
12. Using tools or appliances
13. Opening doors
14.Cleaning
15. Tying or lacing shoes
16.Sleeping
17. Laundering clothes (eg, washing, ironing, folding)
18. Opening a jar
19. Throwing a ball.
20. Carrying a small suitcase with your affected limb
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