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Usual Activities Difficulty Frequency — 3-Month Patient Questionnaire

Published: August 9, 2026Updated: August 17, 2026

A patient-reported questionnaire item asking how often, over the past 3 months, the person was unable to carry out activities normally expected of them.

Quick summary

This questionnaire measures how often difficulty has prevented you from completing your usual activities during the past 3 months.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
95461-0
Short code
DURINGTHEPAST3MOHOWOFTENHAVEYOUFAILEDTODOWHATWASNORMALLYEXPECTEDO
Synonyms
—
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
nida
CPT
84484
SNOMED
302774002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a patient-reported questionnaire item about difficulty completing usual activities. It asks how often, during the past 3 months, you failed to do what was normally expected of you. It is not a laboratory test and does not use a blood, urine, or other specimen.

Why might I need this test?

This type of question helps measure the effect of health problems or disability on daily functioning. It may be used during routine care, symptom monitoring, rehabilitation, or clinical research.

How is the test performed?

You answer the question using the response choices provided in the questionnaire or patient portal. The answer is recorded as part of your medical history and may be compared with earlier responses.

How do I prepare for the test?

No special preparation is needed. Think about your experiences over the previous 3 months and answer as accurately and honestly as possible, including changes caused by physical, emotional, cognitive, or social difficulties.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

More frequent difficulty may indicate that illness, symptoms, disability, treatment effects, or emotional concerns are interfering with daily activities. A lower frequency generally suggests better ability to perform usual roles, although the meaning depends on your circumstances and other clinical findings. This question by itself does not establish a diagnosis.

Short name

Usual activities difficulty

Frequently asked questions

Is this a blood test?
No. It is a patient-reported questionnaire item, so no blood sample or other specimen is required.
What period should I consider when answering?
Consider your ability to complete usual activities over the 3 months immediately before completing the questionnaire.
What does a more difficult response mean?
It may show that health-related problems are limiting your daily activities. Your clinician can interpret the response alongside your symptoms, examination, and other test results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy