Table 1: Frailty First Checklist.
Category Question Answer
Nutrition status 1. Have you lost weight by 2 kg or more in the past 6 months? No Yes
2. Do you daily eat any of meat, eggs, seafood or milk? Yes No
Oral function 3. Can you eat foods as hard as dried squid or pickled dried radish? Yes No
Healthy life 4. Do you think you are healthy in general? Yes No
5. Do you feel lately you have a poor memory? Yes no
Cognitive function 6. Do you feel lately you have a poor memory? No Yes
Social participation 7. Do you have connections with neighbors, such as residents’ associations and volunteers? Yes No
Vitality 8. Do you think you are full of vitality? Yes No
Motor function 9. Can you open the plastic bottle lid easily? Yes No
10. During the 12 past months, have you fallen to the ground or floor? No Yes
11. Did you fail or just manage to enclose in the “Yubi-wakka” (finger-ring) test? Yes No
12. Did you have more than 30 seconds (male) or 23 seconds (female) to keep standing on one leg with your eyes open? Yes No
13. Did you take less than 4 seconds (male) or less than 4.2 seconds (female) when walking 5 m at normal speed? Yes No