Concerns the employee's ability to move around in his or her environment

SCORE

DESCRIPTION OF LEVEL OF EFFECT

0

No or minimal restrictions on mobility

1

Effects on mobility periodic or intermittent - in between episodes no restrictions. Effects continuing but mild (eg slowing of pace, need for a walking stick) (can do everything, but at a slower pace)

2

Mobility reduced, but remains independent of others both within and outside the home. Can travel but may need to have breaks, special seating etc

3

Mobility markedly reduced. Needs some assistance from others. Unable to use most forms of transport

4

Restricted to home and vicinity. Can only travel with door to door transport. Needs assistance of others

5

Severely restricted mobility (eg bed, chair, room). Dependent on others for assistance. Mechanical devices or appliances used (eg wheelchair, hoist)