SDIS1Previously, you mentioned that (you/Name) had difficulty (hearing/seeing/concentrating, remembering or making decisions/walking or climbing stairs/dressing or bathing/doing errands alone such as going to the doctor's office or going shopping). How has this affected (your/his/her) ability to complete current work duties? Would you say this has caused no difficulty, a little difficulty, moderate difficulty, or severe difficulty?
(1) No difficulty
(2) A little difficulty
(3) Moderate difficulty
(4) Severe difficulty
[blind] (D) Don't Know
[blind] (R) Refused
All go to SDIS3