Contact Number : 03 8768-9999
Location : 68 Moondarra Drive, Berwick VIC 3806
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Parkinson Disease Program Online Assessment
This assessment takes 5 mins to complete
Male
Female
Had difficulty doing the leisure activities which you would like to do?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty looking after your home, e.g. DIY, housework, cooking?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty carrying bags of shopping?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems walking half a mile?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems walking 100 yards?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems getting around the house as easily as you would like?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty getting around in public?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Needed someone else to accompany you when you went out?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt frightened or worried about falling over in public?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Been confined to the house more than you would like?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty washing yourself?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty dressing yourself?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems doing up your shoe laces?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems writing clearly?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty cutting up your food?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty holding a drink without spilling it?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt depressed?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt isolated and lonely?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt weepy or tearful?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt angry or bitter?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt anxious?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt worried about your future?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt you had to conceal your Parkinson's from people?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Avoided situations which involve eating or drinking in public?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt embarrassed in public due to having Parkinson's disease?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt worried by other people's reaction to you?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems with your close personal relationships?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Lacked support in the ways you need from your spouse or partner?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Unexpectedly fallen asleep during the day?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had problems with your concentration, e.g. when reading or watching TV?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt your memory was bad?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had distressing dreams or hallucinations?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had difficulty with your speech?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt unable to communicate with people properly?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt ignored by people?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had painful muscle cramps or spasms?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Had aches and pains in your joints or body?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
Felt unpleasantly hot or cold?
Never
Occasionally
Sometimes
Often
Always Or Cannot Do At All
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