Domain | Questions | Example of statements |
---|---|---|
1 Functional limitation | 1–9 | I’ve had trouble pronouncing some words |
2 Physical pain | 10–18 | My dentures have been uncomfortable |
3 Psychological discomfort | 19–23 | I’ve been a bit irritable because of dental troubles |
4 Physical disability | 24–32 | My speech has been unclear |
5 Psychological disability | 33–38 | My concentration has been affected |
6 Social disability | 39–43 | I’ve been less tolerant of my spouse |
7 Handicap | 44–49 | I’ve been limited in my work |