DASI (Duke Activity Status Index)

Estimates functional capacity in adults from a 12-item self-report questionnaire, converting it to estimated peak oxygen uptake (VO2) and metabolic equivalents (METs) to gauge exercise capacity for pre-operative and cardiac risk assessment.

1. Take care of yourself (eating, dressing, bathing, using the toilet)?

2. Walk indoors, such as around your house?

3. Walk a block or two on level ground?

4. Climb a flight of stairs or walk up a hill?

5. Run a short distance?

6. Do light work around the house (dusting, washing dishes)?

7. Do moderate work around the house (vacuuming, sweeping floors, carrying groceries)?

8. Do heavy work around the house (scrubbing floors, lifting or moving heavy furniture)?

9. Do yardwork (raking leaves, weeding, pushing a power mower)?

10. Have sexual relations?

11. Participate in moderate recreational activities (golf, bowling, dancing, doubles tennis, throwing a baseball or football)?

12. Participate in strenuous sports (swimming, singles tennis, football, basketball, skiing)?