Downloads: 1
| # | Blank 1 | Frequency | Blank 2 | Frequency | Blank 3 | Frequency | Blank 4 | Frequency | |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 1 | must have fmcLl | 7 | 7 | if limited must be able | 7 | walk and carry out light activities such as light house work or office work | 5 | |
| 2 | 4 | eastern cooperative oncology group ecog performance status of 0 fmcLly active able to carry on all pre disease performance without restriction 1 restricted in physically strenuous | 1 | but ambmcLatory and able to carry out work of a light | 2 | sedentary nature such as light housework or office work or 2 ambmcLatory and capable of all self care but unable | 1 | carry out any work activities up and about more than 50 of waking hours | 2 |
| 3 | 9 | part ii ecog performance status 0 2 r n eastern cooperative oncology group performance status r n grade 0 = fmcLly active able to carry on all pre disease activities without restriction r n grade 1 = restricted in physical strenuous | 1 | NA | sedentary nature e . g . light housework office work r n grade 2 = ambmcLatory and capable of all self care but unable | 1 | walk and carry out activities such as light house work or office work | 2 |