AGE: ___52____
NUMBER OF YEARS SINCE YOU WERE DIAGNOSED WITH PD: ____3.5____
DO YOU HAVE PROBLEMS WITH TREMOR? ___yes______
DO YOU HAVE ANY PROBLEMS WITH WALKING? ___yes______
FREEZING IN DOORWAYS? ___no_____
SHUFFLING GAIT? ___no_____
PROBLEMS STARTING TO WALK? ___no______
PROBLEMS SUSTAINING WALKING? ___sometimes______
DO EVER FEEL AS THOUGH YOUR FEET ARE "GLUED TO THE FLOOR"? ____no______
DO YOU FIND THAT STEPPING OVER OBJECTS ON THE FLOOR IS HELPFUL FOR
WALKING?
__yes_______
DO YOU FIND THAT YOU DON'T FREEZE WHILE WALKING UP OR DOWN STAIRS?
___no______
ARE SOME FLOOR PATTERNS EASIER FOR YOU TO WALK ACROSS (for example,
cracks in
the sidewalk)? __not that I've noticed_________
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