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Landon Center on Aging
Landon Center on Aging  :  Research  :  Current Research Studies  :  Stroke Impact Scale

SIS 16

In the past 2 weeks, how difficult was it to... 
Not difficult at all
A little difficult
Somewhat difficult
Very difficult
Could not do at all
a. Dress the top part of your body?
5
4
3
2
1
b. Bathe yourself?
5
4
3
2
1
c. Get to the toilet on time?
5
4
3
2
1
d. Control your bladder (not have an accident)?
5
4
3
2
1
e. Control your bowels (not have an accident)?
5
4
3
2
1
f. Stand without losing balance?
5
4
3
2
1
g. Go shopping?
5
4
3
2
1
h. Do heavy household chores (e.g. vacuum, laundry or yard work)?
5
4
3
2
1
i. Stay sitting without losing your balance?
5
4
3
2
1
j. Walk without losing your balance?
5
4
3
2
1
k. Move from a bed to a chair?
5
4
3
2
1
l. Walk fast?
5
4
3
2
1
m. Climb one flight of stairs?
5
4
3
2
1
n. Walk one block?
5
4
3
2
1
o. Get in and out of a car?
5
4
3
2
1
p. Carry heavy objects (e.g. bag of groceries) with your affected hand?
5
4
3
2
1