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Under the best of conditions, what is the FARTHEST you can walk outdoors (or travel using your mobility aid) without the help of another person?

Less than 1 block6 blocks (3/4 mile)

1 blockMore than 6 blocks

2 blocks (1/4 mile)4 blocks (1/2 mile)

I cannot travel outdoors alone at all.

Is there anything else you want to tell us about your disability or health condition that might help us better understand your travel abilities and limitations?

Page 7

Revised 6/14/07

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