1. Get dressed and undressed
0 Not Confident
2. Prepare a simple meal
0 Not Confident
3. Take a bath or a shower
0 Not Confident
4. Get in/out of a chair
0 Not Confident
5. Get in/out of bed
0 Not Confident
6. Answer the door or telephone
0 Not Confident
7. Walk around the inside of your house
0 Not Confident
8. Reach into cabinets or closet
0 Not Confident
9. Light housekeeping
0 Not Confident
10. Simple shopping
0 Not Confident
11. Using public transport
0 Not Confident
12. Crossing roads
0 Not Confident
13. Light gardening or hanging out the washing
0 Not Confident
14. Using front or rear steps at home
0 Not Confident
Modified Gait Efficacy Scale
Instructions: Please answer the below questions.
1. Get dressed and undressed
2. Prepare a simple meal
3. Take a bath or a shower
4. Get in/out of a chair
5. Get in/out of bed
6. Answer the door or telephone
7. Walk around the inside of your house
8. Reach into cabinets or closet
9. Light housekeeping
10. Simple shopping
11. Using public transport
12. Crossing roads
13. Light gardening or hanging out the washing
14. Using front or rear steps at home
Bibliographic References (copyright belongs to the author/s of this instrument):
- Newell, A. M., VanSwearingen, J. M., et al. (2012). "The modified Gait Efficacy Scale: establishing the psychometric properties in older adults." Phys Ther 92(2): 318-328.