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Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

Daily Activities Questionnaire


The Daily Activities Questionnaire asks you to describe in detail how you are able to manage the various functions of day-to-day living with your condition.

The Questionnaire asks questions such as:

Describe what you do on an average day.

When you answer this question, be sure to describe how your condition affects your daily life, particularly the changes you have had to make due to your condition. For example, did you have to abandon a hobby or favorite pastime? If so, explain why.

Do you need help completing your chores?

Again, as you answer this question, indicate how your health condition has affected your ability to complete your chores. For example, I used to be able to change a bed, but now I get so dizzy when I bend over that I have to ask friends to make my bed for me.

How often do you listen to the radio or watch TV or read magazines or books?

Have your reading or viewing habits changed due to your condition? Social Security wants to know how your medical condition effects even your recreation or leisure time.

Be sure to list any changes you've made to accommodate your limited abilities. For examples, see the fatigue questionnaire.

The other questions are very specific.

If you review Tips When Completing Questionnaires, you should have no problem completing the form.

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