| LP191358-3 | Are you able to dial a number on the keypad of a cell phone | COMPONENT | 1 |
| LP191359-1 | Are you able to do an exercise of your choice for 20 minutes several times a week | COMPONENT | 1 |
| LP191360-9 | Are you able to do chores such as vacuuming carpet or mopping floors | COMPONENT | 1 |
| LP191361-7 | Are you able to do housework like vacuuming or sweeping floors | COMPONENT | 1 |
| LP191362-5 | Are you able to do strenuous tasks around the house like cleaning the bathroom or scrubbing floors | COMPONENT | 1 |
| LP191363-3 | Are you able to do vigorous activities, such as playing sports | COMPONENT | 1 |
| LP191364-1 | Are you able to do yard work like raking leaves or sweeping the driveway | COMPONENT | 1 |
| LP191365-8 | Are you able to dress yourself | COMPONENT | 1 |
| LP191366-6 | Are you able to fasten and unfasten a seatbelt | COMPONENT | 1 |
| LP191367-4 | Are you able to fasten buttons on a shirt or blouse | COMPONENT | 1 |
| LP191368-2 | Are you able to fold clean laundry | COMPONENT | 1 |
| LP191369-0 | Are you able to get into a vehicle | COMPONENT | 1 |
| LP19137-6 | Malignin | COMPONENT | |
| LP191370-8 | Are you able to get items in and out of a wallet | COMPONENT | 1 |
| LP191371-6 | Are you able to go OUTSIDE the home, for example to shop or visit a doctor's office | COMPONENT | 1 |
| LP191372-4 | Are you able to go up and down stairs | COMPONENT | 1 |
| LP191373-2 | Are you able to hike a couple of miles on uneven surfaces, including hills | COMPONENT | 1 |
| LP191374-0 | Are you able to hold a card or letter in order to read it | COMPONENT | 1 |
| LP191375-7 | Are you able to lift small objects (such as a can of soup) above your shoulder | COMPONENT | 1 |
| LP191376-5 | Are you able to move about in a dark room or hallway without falling | COMPONENT | 1 |
| LP191377-3 | Are you able to move about the house | COMPONENT | 1 |
| LP191378-1 | Are you able to move around on a slippery surface outdoors | COMPONENT | 1 |
| LP191379-9 | Are you able to move from the street to the sidewalk without a curb cut | COMPONENT | 1 |
| LP191380-7 | Are you able to move wet clothes from the washer to the dryer | COMPONENT | 1 |
| LP191381-5 | Are you able to open and squeeze a new tube of toothpaste | COMPONENT | 1 |
| LP191382-3 | Are you able to pour liquid from a container into a cup | COMPONENT | 1 |
| LP191383-1 | Are you able to prepare simple meals for yourself or for others | COMPONENT | 1 |
| LP191384-9 | Are you able to pull a sweater or t-shirt over your head | COMPONENT | 1 |
| LP191385-6 | Are you able to pull up covers while lying in bed | COMPONENT | 1 |
| LP191386-4 | Are you able to push the buttons on a television remote control | COMPONENT | 1 |
| LP191387-2 | Able to put on socks | COMPONENT | 1 |
| LP191388-0 | Are you able to reach above your head | COMPONENT | 1 |
| LP191389-8 | Are you able to roll onto your stomach while lying in bed | COMPONENT | 1 |
| LP19139-2 | Mefenamate | COMPONENT | 5 |
| LP191390-6 | Are you able to stand on a moving escalator | COMPONENT | 1 |
| LP191391-4 | Are you able to stand upright briefly without support | COMPONENT | 1 |
| LP191392-2 | Are you able to take a letter out of an envelope | COMPONENT | 1 |
| LP191393-0 | Are you able to take a shower | COMPONENT | 1 |
| LP191394-8 | Are you able to transfer from a bed to a chair or a wheelchair | COMPONENT | 1 |
| LP191395-5 | Are you able to turn a key to unlock a door | COMPONENT | 1 |
| LP191396-3 | Are you able to turn pages in a book | COMPONENT | 1 |
| LP191397-1 | Are you able to turn sink faucets on and off | COMPONENT | 1 |
| LP191398-9 | Are you able to type a few sentences on a computer keyboard | COMPONENT | 1 |
| LP191399-7 | Are you able to use a moving escalator safely | COMPONENT | 1 |
| LP19140-0 | Menthol | COMPONENT | 1 |
| LP191400-3 | Are you able to use a regular computer mouse | COMPONENT | 1 |
| LP191401-1 | Are you able to walk more than a mile | COMPONENT | 1 |
| LP191402-9 | Are you able to wash and dry your feet | COMPONENT | 1 |
| LP191403-7 | Are you able to wash dishes and utensils by hand | COMPONENT | 1 |
| LP191404-5 | Can you walk 25 feet on a level surface (with or without support) | COMPONENT | 1 |