Symptoms: Hand
    Paresthesia
    Numbness
    Altered perception of texture
    Warm perception
    Cold perception
    Allodynia
    Pain
    Object identification
    Involuntary distal movements
Symptoms: Foot
    Paresthesia
    Numbness
    Altered perception of texture
    Warm perception
    Cold perception
    Allodynia
    Pain
    Involuntary distal movements
Central nervous system deficits
    Blurred vision
    Tinnitus
    Loss of hearing
    Unsteady posture
Activity deficits
    Dressing
    Washing, drying or brushing hair
    Brushing teeth
    Opening a jar
    Cutting food
    Writing
    Using a key
    Carrying heavy object
    Walking
    Climbing stairs
Standing for long periods
  • NOTE. Each item scored on a 0 to 4 scale for the magnitude of the symptom or deficit and on a 0 to 5 scale for “how bothered were you” by the problem.