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> AGE: ____57___
>
> NUMBER OF YEARS SINCE YOU WERE DIAGNOSED WITH PD: ___5_____
>
> DO YOU HAVE PROBLEMS WITH TREMOR? ___Some______
>
> DO YOU HAVE ANY PROBLEMS WITH WALKING? __Drag foot sometimes_______
>
>     FREEZING IN DOORWAYS? ___No_____
>
>     SHUFFLING GAIT? __No______
>
>     PROBLEMS STARTING TO WALK? ___No______
>
>     PROBLEMS SUSTAINING WALKING? ___No______
>
> 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?
> ___No______
>
> 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)? __No_________
>

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