For each item, please check the box next to the statement that best reflects your current situation. Please read the text carefully and only check one box in each section. 67.Using the toilet Please think about the use of the toilet, cleaning your genital area and hands, putting on and taking off clothes, and the use of sanitary napkins or diapers. I need total assistance I need partial assistance and cannot clean myself I need partial assistance but can clean myself I do not need assistance but I need adaptive devices (e.g., bars) or a special setting (e.g., wheelchair accessible toilet) I do not need any assistance, adaptive devices or a special setting 67/126
