15. Speaking: This includes spastic dysphonia if present.
0= Normal
1= Mild voice tremulousness when “nervous" only.
2= Mild voice tremor, constant.
3= Moderate voice tremor.
4=Severe voice tremor. Some words difficult to understand.
16. Feeding (Other than liquids):
0= Normal
1= Mildly abnormal. Can bring all solids to mouth, spilling only rarely.
2= Moderately abnormal. Frequent spills of peas and similar foods. May bring head at least halfway to meet food.
3= Markedly abnormal. Unable to cut or uses 2 hands to feed.
4= Severely abnormal. Needs help to feed.
17. Bringing Liquids to Mouth:
0= Normal
1= Mildly abnormal. Can still use a spoon, but not if it is completely full.
2= Moderately abnormal. Unable to use a spoon. Uses cup or glass.
3= Markedly abnormal. Can drink from cup or glass, but needs 2 hands.
4= Severely abnormal. Must use a straw.
18. Hygiene:
0= Normal
1= Mildly abnormal. Able to do everything, but is more careful than the average person.
2= Moderately abnormal. Able to do everything, but with errors; uses electric razor because Of tremor.
3= Markedly abnormal. Unable to do most fine tasks, such as putting on lipstick or shaving (even with electric Shaver), unless using two hands.
4= Severely abnormal. Unable to do any fine-movement tasks.
19. Dressing:
0= Normal
1= Mildly abnormal. Able to do everything, but is more careful than the average person.
2= Moderately abnormal. Able to do everything, but with errors.
3= Markedly abnormal. Needs some assistance with buttoning or other activities, such as tying shoelaces.
4= Severely abnormal. Requires assistance even for gross motor activities.
20. Writing:
0= Normal
1= Mildly abnormal. Legible. Continues to write letters.
2= Moderately abnormal. Legible, but no longer writes letters.
3= Markedly abnormal. Illegible.
4= Severely abnormal. Unable to sign checks or other documents requiring signature.
21. Working:
0= Tremor does not interfere with the job.
1= Able to work, but needs to be more careful than the average person.
2= Able to do everything, but with errors. Poorer than usual performance because of tremor.
3= Unable to do regular job. May have changed to a different job because of tremor. Tremor limits housework, such as ironing.
4= Unable to do any outside job; housework very limited.
