Please complete the survey to calculate your frailty index score.

The frailty index was not designed for people under 18 years of age.
Page 1 of 5
Page 2 of 5
The following questions ask about some basic activities of daily living. Remember, these are activities that can be done without help, with some help, or which you are unable to do.
Page 3 of 5
The following questions ask about some other activities of daily living, activities that can be done without help, with some help or which you are unable to do. You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.
Page 4 of 5
Page 5 of 5
The following questions ask about chronic health conditions. We are interested in "long-term conditions" which are expected to last, or have already lasted 6 months or more and that have been diagnosed by a health professional.
Has a doctor ever told you that you...
None Selected Yes No
...have osteoarthritis in the knee?
...have osteoarthritis in the hip?
...have osteoarthritis in one or both hands?
...have rheumatoid arthritis?
...have any other type of arthritis?
...have/had any of the following: emphysema, chronic bronchitis, chronic obstructive pulmonary disease (COPD), or chronic changes in lungs due to smoking?
...have high blood pressure or hypertension?
...have diabetes, borderline diabetes or that your blood sugar is high?
...have heart disease (including congestive heart failure or CHF)?
...have angina (or chest pain due to heart disease)?
...have had a heart attack or myocardial infarction?
...have peripheral vascular disease or poor circulation in your limbs?
...have experienced a stroke or CVA (cerebrovascular accident)?
...have experienced a mini-stroke or TIA (transient ischemic attack)?
...have a memory problem?
None Selected Yes No
...have dementia or Alzheimer’s disease?
...had Parkinsonism or Parkinson’s disease?
...have intestinal or stomach ulcers?
...have a bowel disorder such as Crohn’s Disease, ulcerative colitis, or Irritable Bowel Syndrome?
...experience bowel incontinence?
...experience urinary incontinence?
...have cataracts?
...have glaucoma?
...have macular degeneration?
...had cancer?
...have osteoporosis, sometimes called low bone mineral density, or thin, brittle or weak bones?
...have back problems, excluding fibromyalgia and arthritis?
...have an UNDER-active thyroid gland (sometimes called hypothyroidism or myxedema)?
...have an OVER-active thyroid gland (sometimes called hyperthyroidism or Graves’ disease)?
...have kidney disease or kidney failure?
You have reached the end of the questionnaire.



You need to answer at least one question in order to continue.


To learn more about the frailty index, please visit:

Frailty Index Information

You have reached the results page. However, not enough questions were answered create a report. Please review the contents of the table and navigate to previous pages to complete more questions. You may use the buttons below this table to return to the desired pages.



Buttons to return to previous pages.