ELBOW/WRIST/HAND

The Upper Extremity Functional Index (UEFI)

We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your upper limb problem for which you are currently seeking attention. Please provide an answer for each activity.

Today, do you or would you have any difficulty at all with:

.

  Extreme Difficulty or Unable to Perform Activity Quite a Bit of Difficulty Moderate Difficulty A Little Bit of Difficulty No Difficulty
1. Any of your usual work, housework or school activities 0 1 2 3 4
2. Your usual hobbies, recreational or sporting activities 0 1 2 3 4
3. Lifting a bag of groceries to waist level 0 1 2 3 4
4. Lifting a bag of groceries above your head 0 1 2 3 4
5. Grooming your hair 0 1 2 3 4
6. Pushing up on your hands(eg from a bathtub or chair) 0 1 2 3 4
7. Preparing food(eg peeling, cutting) 0 1 2 3 4
8. Driving 0 1 2 3 4
9. Vacuuming, sweeping or raking 0 1 2 3 4
10. Dressing 0 1 2 3 4
11. Doing up buttons 0 1 2 3 4
12. Using tools or appliances 0 1 2 3 4
13. Opening doors 0 1 2 3 4
14. Cleaning 0 1 2 3 4
15. Tying or lacing shoes 0 1 2 3 4
16. Sleeping 0 1 2 3 4
17. Laundering clothes(eg washing, ironing, folding) 0 1 2 3 4
18. Opening a jar 0 1 2 3 4
19. Throwing a ball 0 1 2 3 4
20. Carrying a small suitcase with your affected limb 0 1 2 3 4