| 1. |
You feel weak and overly
tired due to a recent or chronic illness |
| 2. |
You have a chronic condition
that affects function, cognition and mobility (e.g.,
Dementia, Parkinson's, Alzheimer's) |
| 3. |
Walking, getting out of a
chair, car or bed has become very difficult |
| 4. |
You are afraid of falling
or have fallen recently |
| 5. |
Your joints and muscles feel
stiff and painful |
| 6. |
Bathing, grooming, or using
the toilet has become a burden |
| 7. |
You were recently hospitalized
or underwent surgery |
| 8. |
You were recently fitted
for, or are in need of, a wheelchair or other assistive
device |
| 9. |
You wish to establish an
exercise program to maintain and/or prevent issues |