Table 3

The modified Activities-specific Balance Confidence scale (ABC-UK). For each of the following activities, please indicate your level of self confidence by choosing a corresponding number from the rating scale 0% to 100%, with 0% meaning you have no confidence and 100% meaning you feel completely confident

How confident are you that you can maintain your balance and remain steady when you.....
 1 . . ...walk around the house?___%
2 . . ...walk up or down stairs?___%
3 . . ...bend over and pick up a slipper from the floor at the front of a cupboard?___%
4 . . ...reach for a small tin of food from a shelf at eye level?___%
5 . . ...stand on your tip toes and reach for something above your head?___%
6 . . ...stand on a chair and reach for something?___%
7 . . ...sweep the floor?___%
8 . . ...walk outside the house to a parked car?___%
9 . . ...get into or out of a car?___%
10 . . .walk across a car park to the shops?___%
11 . . .walk up or down a ramp?___%
12 . . .walk in a crowded shopping centre where people walk past you quickly?___%
13 . . .are bumped into by people as you walk through the shopping centre?___%
14 . . .step onto or off an escalator while holding onto the handrail?___%
15 . . .step onto or off an escalator while holding onto parcels such that you cannot hold onto the handrail?___%
16 . . .walk outside on slippery pavements?___%