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rinsing,AEAD2552552550000000000000000000000001Arial800010179745740000000002000220175218000000000000000000000000000000000000000000000200022017521800000000000000000000000000000000000000000000000000000010000000000000000200022017521800000000000000000000000000000000000000000002000220175246and drying self (excludesAEAE2552552550000000000000000000000001Arial800010179745740000000002000220175246000000000000000000000000000000000000000000000200022017524600010000000000000000000000000000000000000000000000000010000000000000000200022017524600000000000000000000000000000000000000000002000220175247washing of back and hair).AEAF2552552550000000000000000000000001Arial800010179745740000000002000220175247000000000000000000000000000000000000000000000200022017524700010000000000000000000000000000000000000000000000000010000000000000000200022017524700000000000000000000000000000000000000000002000220175248Does not include transferringAEAG2552552550000000000000000000000001Arial800010179745740000000002000220175248000000000000000000000000000000000000000000000200022017524800010000000000000000000000000000000000000000000000000010000000000000000200022017524800000000000000000000000000000000000000000002000220175249in/out of tub/shower.AEAH2552552550000000000000000000000001Arial800010179745740000000002000220175249000000000000000000000000000000000000000000000200022017524900010000000000000000000000000000000000000000000000000010000000000000000200022017524900000000000000000000000000000000000000000002000220175175UPPER BODY DRESSAFAB22622721000010000101000000001105251021001Arial12115017411210076606000000000200022017517500000000000000000000000000000000000000000000020002201751750000010000000000000001010000000000000000000000000000001000000000000000020002201751750000000000000000000000000000000000000000000200022017517512000220175211-1001020002201751751200022017513200022017517512000220175132000220175234The ability to dress andAFAC2552552550000000000000000000000001Arial800010179745740000000002000220175234000000000000000000000000000000000000000000000200022017523400010000000000000000000000000000000000000000000000000010000000000000000200022017523400000000000000000000000000000000000000000002000220175235undress above the waist;AFAD2552552550000000000000000000000001Arial800010179745740000000002000220175235000000000000000000000000000000000000000000000200022017523500010000000000000000000000000000000000000000000000000010000000000000000200022017523500000000000000000000000000000000000000000002000220175236including fasteners,AFAE2552552550000000000000000000000001Arial800010179745740000000002000220175236000000000000000000000000000000000000000000000200022017523600010000000000000000000000000000000000000000000000000010000000000000000200022017523600000000000000000000000000000000000000000002000220175237if applicable.AFAF2552552550000000000000000000000001Arial800010179745740000000002000220175237000000000000000000000000000000000000000000000200022017523700010000000000000000000000000000000000000000000000000010000000000000000200022017523700000000000000000000000000000000000000000002000220175187LOWER BODY DRESSAGAB22622721000010000101000000001105251021001Arial12115017411210076606000000000200022017518700000000000000000000000000000000000000000000020002201751870000010000000000000001010000000000000000000000000000001000000000000000020002201751870000000000000000000000000000000000000000000200022017518712000220175213-1001020002201751871200022017513200022017518712000220175132000220175238The ability to dress andAGAC2552552550000000000000000000000001Arial800010179745740000000002000220175238000000000000000000000000000000000000000000000200022017523800010000000000000000000000000000000000000000000000000010000000000000000200022017523800000000000000000000000000000000000000000002000220175239undress below the waist,AGAD2552552550000000000000000000000001Arial800010179745740000000002000220175239000000000000000000000000000000000000000000000200022017523900010000000000000000000000000000000000000000000000000010000000000000000200022017523900000000000000000000000000000000000000000002000220175240including fasteners,AGAE2552552550000000000000000000000001Arial800010179745740000000002000220175240000000000000000000000000000000000000000000000200022017524000010000000000000000000000000000000000000000000000000010000000000000000200022017524000000000000000000000000000000000000000000002000220175241if applicable.AGAF2552552550000000000000000000000001Arial800010179745740000000002000220175241000000000000000000000000000000000000000000000200022017524100010000000000000000000000000000000000000000000000000010000000000000000200022017524100000000000000000000000000000000000000000002000220175198FOOTWEAR ON/OFFAHAB22622721000010000101000000001105251021001Arial12115017411210076606000000000200022017519800000000000000000000000000000000000000000000020002201751980000010000000000000001010000000000000000000000000000001000000000000000020002201751980000000000000000000000000000000000000000000200022017519812000220175215-1001020002201751981200022017513200022017519812000220175132000220175242The ability to put on and takeAHAC2552552550000000000000000000000001Arial800010179745740000000002000220175242000000000000000000000000000000000000000000000200022017524200010000000000000000000000000000000000000000000000000010000000000000000200022017524200000000000000000000000000000000000000000002000220175243off socks and shoes or otherAHAD2552552550000000000000000000000001Arial800010179745740000000002000220175243000000000000000000000000000000000000000000000200022017524300010000000000000000000000000000000000000000000000000010000000000000000200022017524300000000000000000000000000000000000000000002000220175244footwear that is appropriateAHAE2552552550000000000000000000000001Arial800010179745740000000002000220175244000000000000000000000000000000000000000000000200022017524400010000000000000000000000000000000000000000000000000010000000000000000200022017524400000000000000000000000000000000000000000002000220175245for safe mobility; includingAHAF2552552550000000000000000000000001Arial800010179745740000000002000220175245000000000000000000000000000000000000000000000200022017524500010000000000000000000000000000000000000000000000000010000000000000000200022017524500000000000000000000000000000000000000000002000220175250fasteners, if applicable.AHAG2552552550000000000000000000000001Arial800010179745740000000002000220175250000000000000000000000000000000000000000000000200022017525000010000000000000000000000000000000000000000000000000010000000000000000200022017525000000000000000000000000000000000000000000002000220175209START OVERBABA1281286425525525500000001000000001105251021001Arial1407550101842150400000000020002201752090000000000000000000000000000000000000000000002000220175209000100000000000000000100000000000000000000000000000065536010000000000000000200022017520900000000000000000000000000000000000000000002000220175209120002201751-1001020002201752091302000220175164IndependentBABB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175164000000000000000000000000000000000000000000000200022017516400000000000000000000010100000000000000000000000000000010000000000000000200022017516400000000000000000000000000000000000000000002000220175164120002201751-10010200022017516412000220175163320002201751641200022017516332000220175251Resident completes theBABC2552552550000000000000000000000001Arial800010179745740000000002000220175251000000000000000000000000000000000000000000000200022017525100010000000000000000000000000000000000000000000000000010000000000000000200022017525100000000000000000000000000000000000000000002000220175252activity by him/herself withBABD2552552550000000000000000000000001Arial800010179745740000000002000220175252000000000000000000000000000000000000000000000200022017525200010000000000000000000000000000000000000000000000000010000000000000000200022017525200000000000000000000000000000000000000000002000220175253no assistance from a helper.BABE2552552550000000000000000000000001Arial800010179745740000000002000220175253000000000000000000000000000000000000000000000200022017525300010000000000000000000000000000000000000000000000000010000000000000000200022017525300000000000000000000000000000000000000000002000220175210Shower/Bathing PerformanceBBBA2552552551280640000000000000000000001Arial121136010179745740000000002000220175210000000000000000000000000000000000000000000000200022017521000010000000000000000000000000000000000000000000000000010000000000000000200022017521000000000000000000000000000000000000000000002000220175165Setup or Clean-Up AssistanceBBBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175165000000000000000000000000000000000000000000000200022017516500000000000000000000010100000000000000000000000000000010000000000000000200022017516500000000000000000000000000000000000000000002000220175165120002201751-10010200022017516512000220175163320002201751651200022017516332000220175254Helper set up or cleans up;BBBC2552552550000000000000000000000001Arial800010179745740000000002000220175254000000000000000000000000000000000000000000000200022017525400010000000000000000000000000000000000000000000000000010000000000000000200022017525400000000000000000000000000000000000000000002000220175255resident completes activity.BBBD2552552550000000000000000000000001Arial800010179745740000000002000220175255000000000000000000000000000000000000000000000200022017525500010000000000000000000000000000000000000000000000000010000000000000000200022017525500000000000000000000000000000000000000000002000220175256Helper assists only prior toBBBE2552552550000000000000000000000001Arial800010179745740000000002000220175256000000000000000000000000000000000000000000000200022017525600010000000000000000000000000000000000000000000000000010000000000000000200022017525600000000000000000000000000000000000000000002000220175257or following activity.BBBF2552552550000000000000000000000001Arial800010179745740000000002000220175257000000000000000000000000000000000000000000000200022017525700010000000000000000000000000000000000000000000000000010000000000000000200022017525700000000000000000000000000000000000000000002000220175166Supervision or Touching Assistc3VwZXJ2aXNpb24gb3IgdG91Y2hpbmcgYXNzaXN0YW5jZQ==BCBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175166000000000000000000000000000000000000000000000200022017516600000000000000000000010100000000000000000000000000000010000000000000000200022017516600000000000000000000000000000000000000000002000220175166120002201751-10010200022017516612000220175163320002201751661200022017516332000220175258Helper provides verbal cuesBCBC2552552550000000000000000000000001Arial800010179745740000000002000220175258000000000000000000000000000000000000000000000200022017525800010000000000000000000000000000000000000000000000000010000000000000000200022017525800000000000000000000000000000000000000000002000220175259and/or touching/steadying and/BCBD2552552550000000000000000000000001Arial800010179745740000000002000220175259000000000000000000000000000000000000000000000200022017525900010000000000000000000000000000000000000000000000000010000000000000000200022017525900000000000000000000000000000000000000000002000220175260or contact guard assistanceBCBE2552552550000000000000000000000001Arial800010179745740000000002000220175260000000000000000000000000000000000000000000000200022017526000010000000000000000000000000000000000000000000000000010000000000000000200022017526000000000000000000000000000000000000000000002000220175261as resident completesBCBF2552552550000000000000000000000001Arial800010179745740000000002000220175261000000000000000000000000000000000000000000000200022017526100010000000000000000000000000000000000000000000000000010000000000000000200022017526100000000000000000000000000000000000000000002000220175262activity. Assistance may beBCBG2552552550000000000000000000000001Arial800010179745740000000002000220175262000000000000000000000000000000000000000000000200022017526200010000000000000000000000000000000000000000000000000010000000000000000200022017526200000000000000000000000000000000000000000002000220175263provided throughout theBCBH2552552550000000000000000000000001Arial800010179745740000000002000220175263000000000000000000000000000000000000000000000200022017526300010000000000000000000000000000000000000000000000000010000000000000000200022017526300000000000000000000000000000000000000000002000220175264activity or intermittently.BCBI2552552550000000000000000000000001Arial800010179745740000000002000220175264000000000000000000000000000000000000000000000200022017526400010000000000000000000000000000000000000000000000000010000000000000000200022017526400000000000000000000000000000000000000000002000220175167Partial/Moderate AssistBDBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175167000000000000000000000000000000000000000000000200022017516700000000000000000000010100000000000000000000000000000010000000000000000200022017516700000000000000000000000000000000000000000002000220175167120002201751-10010200022017516712000220175163320002201751671200022017516332000220175265Helper does LESS THAN HALFBDBC2552552550000000000000000000000001Arial800010179745740000000002000220175265000000000000000000000000000000000000000000000200022017526500010000000000000000000000000000000000000000000000000010000000000000000200022017526500000000000000000000000000000000000000000002000220175266the effort. Helper lifts,BDBD2552552550000000000000000000000001Arial800010179745740000000002000220175266000000000000000000000000000000000000000000000200022017526600010000000000000000000000000000000000000000000000000010000000000000000200022017526600000000000000000000000000000000000000000002000220175267holds, or supports trunk orBDBE2552552550000000000000000000000001Arial800010179745740000000002000220175267000000000000000000000000000000000000000000000200022017526700010000000000000000000000000000000000000000000000000010000000000000000200022017526700000000000000000000000000000000000000000002000220175268limbs, but provides less thanBDBF2552552550000000000000000000000001Arial800010179745740000000002000220175268000000000000000000000000000000000000000000000200022017526800010000000000000000000000000000000000000000000000000010000000000000000200022017526800000000000000000000000000000000000000000002000220175269half the effort.BDBG2552552550000000000000000000000001Arial800010179745740000000002000220175269000000000000000000000000000000000000000000000200022017526900010000000000000000000000000000000000000000000000000010000000000000000200022017526900000000000000000000000000000000000000000002000220175168Substantial/Maximal AssistBEBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175168000000000000000000000000000000000000000000000200022017516800000000000000000000010100000000000000000000000000000010000000000000000200022017516800000000000000000000000000000000000000000002000220175168120002201751-10010200022017516812000220175163320002201751681200022017516332000220175270Helper does MORE THAN HALFBEBC2552552550000000000000000000000001Arial800010179745740000000002000220175270000000000000000000000000000000000000000000000200022017527000010000000000000000000000000000000000000000000000000010000000000000000200022017527000000000000000000000000000000000000000000002000220175271the effort. Helper lifts orBEBD2552552550000000000000000000000001Arial800010179745740000000002000220175271000000000000000000000000000000000000000000000200022017527100010000000000000000000000000000000000000000000000000010000000000000000200022017527100000000000000000000000000000000000000000002000220175272holds trunk or limbs andBEBE2552552550000000000000000000000001Arial800010179745740000000002000220175272000000000000000000000000000000000000000000000200022017527200010000000000000000000000000000000000000000000000000010000000000000000200022017527200000000000000000000000000000000000000000002000220175273provides more than halfBEBF2552552550000000000000000000000001Arial800010179745740000000002000220175273000000000000000000000000000000000000000000000200022017527300010000000000000000000000000000000000000000000000000010000000000000000200022017527300000000000000000000000000000000000000000002000220175274the effort.BEBG2552552550000000000000000000000001Arial800010179745740000000002000220175274000000000000000000000000000000000000000000000200022017527400010000000000000000000000000000000000000000000000000010000000000000000200022017527400000000000000000000000000000000000000000002000220175169DependentBFBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175169000000000000000000000000000000000000000000000200022017516900000000000000000000010100000000000000000000000000000010000000000000000200022017516900000000000000000000000000000000000000000002000220175169120002201751-10010200022017516912000220175163320002201751691200022017516332000220175275Helper does all of the effort.BFBC2552552550000000000000000000000001Arial800010179745740000000002000220175275000000000000000000000000000000000000000000000200022017527500010000000000000000000000000000000000000000000000000010000000000000000200022017527500000000000000000000000000000000000000000002000220175276Resident does none of theBFBD2552552550000000000000000000000001Arial800010179745740000000002000220175276000000000000000000000000000000000000000000000200022017527600010000000000000000000000000000000000000000000000000010000000000000000200022017527600000000000000000000000000000000000000000002000220175277effort to complete theBFBE2552552550000000000000000000000001Arial800010179745740000000002000220175277000000000000000000000000000000000000000000000200022017527700010000000000000000000000000000000000000000000000000010000000000000000200022017527700000000000000000000000000000000000000000002000220175278activity. Or, the assistanceBFBF2552552550000000000000000000000001Arial800010179745740000000002000220175278000000000000000000000000000000000000000000000200022017527800010000000000000000000000000000000000000000000000000010000000000000000200022017527800000000000000000000000000000000000000000002000220175279of 2 or more helpers isBFBG2552552550000000000000000000000001Arial800010179745740000000002000220175279000000000000000000000000000000000000000000000200022017527900010000000000000000000000000000000000000000000000000010000000000000000200022017527900000000000000000000000000000000000000000002000220175280required for the resident toBFBH2552552550000000000000000000000001Arial800010179745740000000002000220175280000000000000000000000000000000000000000000000200022017528000010000000000000000000000000000000000000000000000000010000000000000000200022017528000000000000000000000000000000000000000000002000220175281complete the activity.BFBI2552552550000000000000000000000001Arial800010179745740000000002000220175281000000000000000000000000000000000000000000000200022017528100010000000000000000000000000000000000000000000000000010000000000000000200022017528100000000000000000000000000000000000000000002000220175170Resident RefusedBGBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175170000000000000000000000000000000000000000000000200022017517000000000000000000000010100000000000000000000000000000010000000000000000200022017517000000000000000000000000000000000000000000002000220175170120002201751-10010200022017517012000220175163320002201751701200022017516332000220175173Not ApplicableBHBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175173000000000000000000000000000000000000000000000200022017517300000000000000000000010100000000000000000000000000000010000000000000000200022017517300000000000000000000000000000000000000000002000220175173120002201751-10010200022017517312000220175163320002201751731200022017516332000220175172Not Attempted - Medical/SafetyTm90IEF0dGVtcHRlZCBkdWUgdG8gTWVkaWNhbCBvciBTYWZldHkgQ29uY2VybnM=BIBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175172000000000000000000000000000000000000000000000200022017517200000000000000000000010100000000000000000000000000000010000000000000000200022017517200000000000000000000000000000000000000000002000220175172120002201751-10010200022017517212000220175163320002201751721200022017516332000220175282Not attempted due toBIBC2552552550000000000000000000000001Arial800010179745740000000002000220175282000000000000000000000000000000000000000000000200022017528200010000000000000000000000000000000000000000000000000010000000000000000200022017528200000000000000000000000000000000000000000002000220175283medical condition or safetyBIBD2552552550000000000000000000000001Arial800010179745740000000002000220175283000000000000000000000000000000000000000000000200022017528300010000000000000000000000000000000000000000000000000010000000000000000200022017528300000000000000000000000000000000000000000002000220175284concern.BIBE2552552550000000000000000000000001Arial800010179745740000000002000220175284000000000000000000000000000000000000000000000200022017528400010000000000000000000000000000000000000000000000000010000000000000000200022017528400000000000000000000000000000000000000000002000220175171Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpBJBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175171000000000000000000000000000000000000000000000200022017517100000000000000000000010100000000000000000000000000000010000000000000000200022017517100000000000000000000000000000000000000000002000220175171120002201751-10010200022017517112000220175163320002201751711200022017516332000220175285Not attempted due toBJBC2552552550000000000000000000000001Arial800010179745740000000002000220175285000000000000000000000000000000000000000000000200022017528500010000000000000000000000000000000000000000000000000010000000000000000200022017528500000000000000000000000000000000000000000002000220175286environmental limitationsBJBD2552552550000000000000000000000001Arial800010179745740000000002000220175286000000000000000000000000000000000000000000000200022017528600010000000000000000000000000000000000000000000000000010000000000000000200022017528600000000000000000000000000000000000000000002000220175287(e.g., lack of equipment,BJBE2552552550000000000000000000000001Arial800010179745740000000002000220175287000000000000000000000000000000000000000000000200022017528700010000000000000000000000000000000000000000000000000010000000000000000200022017528700000000000000000000000000000000000000000002000220175288weather constraints)BJBF2552552550000000000000000000000001Arial80001017974574000000000200022017528800000000000000000000000000000000000000000000020002201752880001000000000000000000000000000000000000000000000000001000000000000000020002201752880000000000000000000000000000000000000000000200022017563Resident completes theBRAC2552552550000000000000000000000001Arial80001017974574000000000200022017563000000000000000000000000000000000000000000000200022017563000100000000000000000000000000000000000000000000000000100000000000000002000220175630000000000000000000000000000000000000000000200022017564activity by him/herself withBRAD2552552550000000000000000000000001Arial80001017974574000000000200022017564000000000000000000000000000000000000000000000200022017564000100000000000000000000000000000000000000000000000000100000000000000002000220175640000000000000000000000000000000000000000000200022017565no assistance from a helper.BRAE2552552550000000000000000000000001Arial80001017974574000000000200022017565000000000000000000000000000000000000000000000200022017565000100000000000000000000000000000000000000000000000000100000000000000002000220175650000000000000000000000000000000000000000000200022017566Helper set up or cleans up;BSAC2552552550000000000000000000000001Arial80001017974574000000000200022017566000000000000000000000000000000000000000000000200022017566000100000000000000000000000000000000000000000000000000100000000000000002000220175660000000000000000000000000000000000000000000200022017567resident completes activity.BSAD2552552550000000000000000000000001Arial80001017974574000000000200022017567000000000000000000000000000000000000000000000200022017567000100000000000000000000000000000000000000000000000000100000000000000002000220175670000000000000000000000000000000000000000000200022017568Helper assists only prior toBSAE2552552550000000000000000000000001Arial80001017974574000000000200022017568000000000000000000000000000000000000000000000200022017568000100000000000000000000000000000000000000000000000000100000000000000002000220175680000000000000000000000000000000000000000000200022017569or following activity.BSAF2552552550000000000000000000000001Arial80001017974574000000000200022017569000000000000000000000000000000000000000000000200022017569000100000000000000000000000000000000000000000000000000100000000000000002000220175690000000000000000000000000000000000000000000200022017573Helper provides verbal cuesBTAC2552552550000000000000000000000001Arial80001017974574000000000200022017573000000000000000000000000000000000000000000000200022017573000100000000000000000000000000000000000000000000000000100000000000000002000220175730000000000000000000000000000000000000000000200022017572and/or touching/steadying and/BTAD2552552550000000000000000000000001Arial800010179745740000000002000220175720000000000000000000000000000000000000000000002000220175720001000000000000000000000000000000000000000000000000001000000000000000020002201757200000000000000000000000000000000000000000002000220175232or contact guard assistanceBTAE2552552550000000000000000000000001Arial80001017974574000000000200022017523200000000000000000000000000000000000000000000020002201752320001000000000000000000000000000000000000000000000000001000000000000000020002201752320000000000000000000000000000000000000000000200022017571as resident completesBTAF2552552550000000000000000000000001Arial80001017974574000000000200022017571000000000000000000000000000000000000000000000200022017571000100000000000000000000000000000000000000000000000000100000000000000002000220175710000000000000000000000000000000000000000000200022017570activity. Assistance may beBTAG2552552550000000000000000000000001Arial80001017974574000000000200022017570000000000000000000000000000000000000000000000200022017570000100000000000000000000000000000000000000000000000000100000000000000002000220175700000000000000000000000000000000000000000000200022017574provided throughout theBTAH2552552550000000000000000000000001Arial80001017974574000000000200022017574000000000000000000000000000000000000000000000200022017574000100000000000000000000000000000000000000000000000000100000000000000002000220175740000000000000000000000000000000000000000000200022017575activity or intermittently.BTAI2552552550000000000000000000000001Arial80001017974574000000000200022017575000000000000000000000000000000000000000000000200022017575000100000000000000000000000000000000000000000000000000100000000000000002000220175750000000000000000000000000000000000000000000200022017581Helper does LESS THAN HALFBUAC2552552550000000000000000000000001Arial80001017974574000000000200022017581000000000000000000000000000000000000000000000200022017581000100000000000000000000000000000000000000000000000000100000000000000002000220175810000000000000000000000000000000000000000000200022017580the effort. Helper lifts,BUAD2552552550000000000000000000000001Arial80001017974574000000000200022017580000000000000000000000000000000000000000000000200022017580000100000000000000000000000000000000000000000000000000100000000000000002000220175800000000000000000000000000000000000000000000200022017579holds, or supports trunk orBUAE2552552550000000000000000000000001Arial80001017974574000000000200022017579000000000000000000000000000000000000000000000200022017579000100000000000000000000000000000000000000000000000000100000000000000002000220175790000000000000000000000000000000000000000000200022017578limbs, but provides less thanBUAF2552552550000000000000000000000001Arial80001017974574000000000200022017578000000000000000000000000000000000000000000000200022017578000100000000000000000000000000000000000000000000000000100000000000000002000220175780000000000000000000000000000000000000000000200022017577half the effort.BUAG2552552550000000000000000000000001Arial80001017974574000000000200022017577000000000000000000000000000000000000000000000200022017577000100000000000000000000000000000000000000000000000000100000000000000002000220175770000000000000000000000000000000000000000000200022017587Helper does MORE THAN HALFBVAC2552552550000000000000000000000001Arial80001017974574000000000200022017587000000000000000000000000000000000000000000000200022017587000100000000000000000000000000000000000000000000000000100000000000000002000220175870000000000000000000000000000000000000000000200022017586the effort. Helper lifts orBVAD2552552550000000000000000000000001Arial80001017974574000000000200022017586000000000000000000000000000000000000000000000200022017586000100000000000000000000000000000000000000000000000000100000000000000002000220175860000000000000000000000000000000000000000000200022017585holds trunk or limbs andBVAE2552552550000000000000000000000001Arial80001017974574000000000200022017585000000000000000000000000000000000000000000000200022017585000100000000000000000000000000000000000000000000000000100000000000000002000220175850000000000000000000000000000000000000000000200022017584provides more than halfBVAF2552552550000000000000000000000001Arial80001017974574000000000200022017584000000000000000000000000000000000000000000000200022017584000100000000000000000000000000000000000000000000000000100000000000000002000220175840000000000000000000000000000000000000000000200022017583the effort.BVAG2552552550000000000000000000000001Arial80001017974574000000000200022017583000000000000000000000000000000000000000000000200022017583000100000000000000000000000000000000000000000000000000100000000000000002000220175830000000000000000000000000000000000000000000200022017576Helper does all of the effort.BWAC2552552550000000000000000000000001Arial80001017974574000000000200022017576000000000000000000000000000000000000000000000200022017576000100000000000000000000000000000000000000000000000000100000000000000002000220175760000000000000000000000000000000000000000000200022017582Resident does none of theBWAD2552552550000000000000000000000001Arial80001017974574000000000200022017582000000000000000000000000000000000000000000000200022017582000100000000000000000000000000000000000000000000000000100000000000000002000220175820000000000000000000000000000000000000000000200022017588effort to complete theBWAE2552552550000000000000000000000001Arial80001017974574000000000200022017588000000000000000000000000000000000000000000000200022017588000100000000000000000000000000000000000000000000000000100000000000000002000220175880000000000000000000000000000000000000000000200022017589activity. Or, the assistanceBWAF2552552550000000000000000000000001Arial80001017974574000000000200022017589000000000000000000000000000000000000000000000200022017589000100000000000000000000000000000000000000000000000000100000000000000002000220175890000000000000000000000000000000000000000000200022017590of 2 or more helpers isBWAG2552552550000000000000000000000001Arial80001017974574000000000200022017590000000000000000000000000000000000000000000000200022017590000100000000000000000000000000000000000000000000000000100000000000000002000220175900000000000000000000000000000000000000000000200022017591required for the resident toBWAH2552552550000000000000000000000001Arial80001017974574000000000200022017591000000000000000000000000000000000000000000000200022017591000100000000000000000000000000000000000000000000000000100000000000000002000220175910000000000000000000000000000000000000000000200022017592complete the activity.BWAI2552552550000000000000000000000001Arial80001017974574000000000200022017592000000000000000000000000000000000000000000000200022017592000100000000000000000000000000000000000000000000000000100000000000000002000220175920000000000000000000000000000000000000000000200022017593Not attempted due toBZAC2552552550000000000000000000000001Arial80001017974574000000000200022017593000000000000000000000000000000000000000000000200022017593000100000000000000000000000000000000000000000000000000100000000000000002000220175930000000000000000000000000000000000000000000200022017594medical condition or safetyBZAD2552552550000000000000000000000001Arial80001017974574000000000200022017594000000000000000000000000000000000000000000000200022017594000100000000000000000000000000000000000000000000000000100000000000000002000220175940000000000000000000000000000000000000000000200022017595concern.BZAE2552552550000000000000000000000001Arial800010179745740000000002000220175950000000000000000000000000000000000000000000002000220175950001000000000000000000000000000000000000000000000000001000000000000000020002201759500000000000000000000000000000000000000000002000220175162Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpCAAB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175162000000000000000000000000000000000000000000000200022017516200000000000000000000010100000000000000000000000000000010000000000000000200022017516200000000000000000000000000000000000000000002000220175162120002201751-1001020002201751621200022017563200022017516212000220175632000220175231Not attempted due toCAAC2552552550000000000000000000000001Arial800010179745740000000002000220175231000000000000000000000000000000000000000000000200022017523100010000000000000000000000000000000000000000000000000010000000000000000200022017523100000000000000000000000000000000000000000002000220175230environmental limitationsCAAD2552552550000000000000000000000001Arial800010179745740000000002000220175230000000000000000000000000000000000000000000000200022017523000010000000000000000000000000000000000000000000000000010000000000000000200022017523000000000000000000000000000000000000000000002000220175229(e.g., lack of equipment,CAAE2552552550000000000000000000000001Arial800010179745740000000002000220175229000000000000000000000000000000000000000000000200022017522900010000000000000000000000000000000000000000000000000010000000000000000200022017522900000000000000000000000000000000000000000002000220175228weather constraints)CAAF2552552550000000000000000000000001Arial800010179745740000000002000220175228000000000000000000000000000000000000000000000200022017522800010000000000000000000000000000000000000000000000000010000000000000000200022017522800000000000000000000000000000000000000000002000220175211START OVERCIBA1281286425525525500000001000000001105251021001Arial1407550101842150400000000020002201752110000000000000000000000000000000000000000000002000220175211000100000000000000000100000000000000000000000000000065536010000000000000000200022017521100000000000000000000000000000000000000000002000220175211120002201751-1001020002201752111302000220175176IndependentCIBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175176000000000000000000000000000000000000000000000200022017517600000000000000000000010100000000000000000000000000000010000000000000000200022017517600000000000000000000000000000000000000000002000220175176120002201751-10010200022017517612000220175175320002201751761200022017517532000220175289Resident completes theCIBC2552552550000000000000000000000001Arial800010179745740000000002000220175289000000000000000000000000000000000000000000000200022017528900010000000000000000000000000000000000000000000000000010000000000000000200022017528900000000000000000000000000000000000000000002000220175290activity by him/herself withCIBD2552552550000000000000000000000001Arial800010179745740000000002000220175290000000000000000000000000000000000000000000000200022017529000010000000000000000000000000000000000000000000000000010000000000000000200022017529000000000000000000000000000000000000000000002000220175291no assistance from a helper.CIBE2552552550000000000000000000000001Arial800010179745740000000002000220175291000000000000000000000000000000000000000000000200022017529100010000000000000000000000000000000000000000000000000010000000000000000200022017529100000000000000000000000000000000000000000002000220175212Upper Body Dressing Perf.CJBA2552552551280640000000000000000000001Arial121126010179745740000000002000220175212000000000000000000000000000000000000000000000200022017521200010000000000000000000000000000000000000000000000000010000000000000000200022017521200000000000000000000000000000000000000000002000220175177Setup or Clean-Up AssistanceCJBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175177000000000000000000000000000000000000000000000200022017517700000000000000000000010100000000000000000000000000000010000000000000000200022017517700000000000000000000000000000000000000000002000220175177120002201751-10010200022017517712000220175175320002201751771200022017517532000220175292Helper set up or cleans up;CJBC2552552550000000000000000000000001Arial800010179745740000000002000220175292000000000000000000000000000000000000000000000200022017529200010000000000000000000000000000000000000000000000000010000000000000000200022017529200000000000000000000000000000000000000000002000220175293resident completes activity.CJBD2552552550000000000000000000000001Arial800010179745740000000002000220175293000000000000000000000000000000000000000000000200022017529300010000000000000000000000000000000000000000000000000010000000000000000200022017529300000000000000000000000000000000000000000002000220175294Helper assists only prior toCJBE2552552550000000000000000000000001Arial800010179745740000000002000220175294000000000000000000000000000000000000000000000200022017529400010000000000000000000000000000000000000000000000000010000000000000000200022017529400000000000000000000000000000000000000000002000220175295or following activity.CJBF2552552550000000000000000000000001Arial800010179745740000000002000220175295000000000000000000000000000000000000000000000200022017529500010000000000000000000000000000000000000000000000000010000000000000000200022017529500000000000000000000000000000000000000000002000220175178Supervision or Touching Assistc3VwZXJ2aXNpb24gb3IgdG91Y2hpbmcgYXNzaXN0YW5jZQ==CKBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175178000000000000000000000000000000000000000000000200022017517800000000000000000000010100000000000000000000000000000010000000000000000200022017517800000000000000000000000000000000000000000002000220175178120002201751-10010200022017517812000220175175320002201751781200022017517532000220175296Helper provides verbal cuesCKBC2552552550000000000000000000000001Arial800010179745740000000002000220175296000000000000000000000000000000000000000000000200022017529600010000000000000000000000000000000000000000000000000010000000000000000200022017529600000000000000000000000000000000000000000002000220175297and/or touching/steadying and/CKBD2552552550000000000000000000000001Arial800010179745740000000002000220175297000000000000000000000000000000000000000000000200022017529700010000000000000000000000000000000000000000000000000010000000000000000200022017529700000000000000000000000000000000000000000002000220175298or contact guard assistanceCKBE2552552550000000000000000000000001Arial800010179745740000000002000220175298000000000000000000000000000000000000000000000200022017529800010000000000000000000000000000000000000000000000000010000000000000000200022017529800000000000000000000000000000000000000000002000220175299as resident completesCKBF2552552550000000000000000000000001Arial800010179745740000000002000220175299000000000000000000000000000000000000000000000200022017529900010000000000000000000000000000000000000000000000000010000000000000000200022017529900000000000000000000000000000000000000000002000220175300activity. Assistance may beCKBG2552552550000000000000000000000001Arial800010179745740000000002000220175300000000000000000000000000000000000000000000000200022017530000010000000000000000000000000000000000000000000000000010000000000000000200022017530000000000000000000000000000000000000000000002000220175301provided throughout theCKBH2552552550000000000000000000000001Arial800010179745740000000002000220175301000000000000000000000000000000000000000000000200022017530100010000000000000000000000000000000000000000000000000010000000000000000200022017530100000000000000000000000000000000000000000002000220175302activity or intermittently.CKBI2552552550000000000000000000000001Arial800010179745740000000002000220175302000000000000000000000000000000000000000000000200022017530200010000000000000000000000000000000000000000000000000010000000000000000200022017530200000000000000000000000000000000000000000002000220175179Partial/Moderate AssistCLBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175179000000000000000000000000000000000000000000000200022017517900000000000000000000010100000000000000000000000000000010000000000000000200022017517900000000000000000000000000000000000000000002000220175179120002201751-10010200022017517912000220175175320002201751791200022017517532000220175303Helper does LESS THAN HALFCLBC2552552550000000000000000000000001Arial800010179745740000000002000220175303000000000000000000000000000000000000000000000200022017530300010000000000000000000000000000000000000000000000000010000000000000000200022017530300000000000000000000000000000000000000000002000220175304the effort. Helper lifts,CLBD2552552550000000000000000000000001Arial800010179745740000000002000220175304000000000000000000000000000000000000000000000200022017530400010000000000000000000000000000000000000000000000000010000000000000000200022017530400000000000000000000000000000000000000000002000220175305holds, or supports trunk orCLBE2552552550000000000000000000000001Arial800010179745740000000002000220175305000000000000000000000000000000000000000000000200022017530500010000000000000000000000000000000000000000000000000010000000000000000200022017530500000000000000000000000000000000000000000002000220175306limbs, but provides less thanCLBF2552552550000000000000000000000001Arial800010179745740000000002000220175306000000000000000000000000000000000000000000000200022017530600010000000000000000000000000000000000000000000000000010000000000000000200022017530600000000000000000000000000000000000000000002000220175307half the effort.CLBG2552552550000000000000000000000001Arial800010179745740000000002000220175307000000000000000000000000000000000000000000000200022017530700010000000000000000000000000000000000000000000000000010000000000000000200022017530700000000000000000000000000000000000000000002000220175180Substantial/Maximal AssistCMBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175180000000000000000000000000000000000000000000000200022017518000000000000000000000010100000000000000000000000000000010000000000000000200022017518000000000000000000000000000000000000000000002000220175180120002201751-10010200022017518012000220175175320002201751801200022017517532000220175308Helper does MORE THAN HALFCMBC2552552550000000000000000000000001Arial800010179745740000000002000220175308000000000000000000000000000000000000000000000200022017530800010000000000000000000000000000000000000000000000000010000000000000000200022017530800000000000000000000000000000000000000000002000220175309the effort. Helper lifts orCMBD2552552550000000000000000000000001Arial800010179745740000000002000220175309000000000000000000000000000000000000000000000200022017530900010000000000000000000000000000000000000000000000000010000000000000000200022017530900000000000000000000000000000000000000000002000220175310holds trunk or limbs andCMBE2552552550000000000000000000000001Arial800010179745740000000002000220175310000000000000000000000000000000000000000000000200022017531000010000000000000000000000000000000000000000000000000010000000000000000200022017531000000000000000000000000000000000000000000002000220175311provides more than halfCMBF2552552550000000000000000000000001Arial800010179745740000000002000220175311000000000000000000000000000000000000000000000200022017531100010000000000000000000000000000000000000000000000000010000000000000000200022017531100000000000000000000000000000000000000000002000220175312the effort.CMBG2552552550000000000000000000000001Arial800010179745740000000002000220175312000000000000000000000000000000000000000000000200022017531200010000000000000000000000000000000000000000000000000010000000000000000200022017531200000000000000000000000000000000000000000002000220175181DependentCNBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175181000000000000000000000000000000000000000000000200022017518100000000000000000000010100000000000000000000000000000010000000000000000200022017518100000000000000000000000000000000000000000002000220175181120002201751-10010200022017518112000220175175320002201751811200022017517532000220175313Helper does all of the effort.CNBC2552552550000000000000000000000001Arial800010179745740000000002000220175313000000000000000000000000000000000000000000000200022017531300010000000000000000000000000000000000000000000000000010000000000000000200022017531300000000000000000000000000000000000000000002000220175314Resident does none of theCNBD2552552550000000000000000000000001Arial800010179745740000000002000220175314000000000000000000000000000000000000000000000200022017531400010000000000000000000000000000000000000000000000000010000000000000000200022017531400000000000000000000000000000000000000000002000220175315effort to complete theCNBE2552552550000000000000000000000001Arial800010179745740000000002000220175315000000000000000000000000000000000000000000000200022017531500010000000000000000000000000000000000000000000000000010000000000000000200022017531500000000000000000000000000000000000000000002000220175316activity. Or, the assistanceCNBF2552552550000000000000000000000001Arial800010179745740000000002000220175316000000000000000000000000000000000000000000000200022017531600010000000000000000000000000000000000000000000000000010000000000000000200022017531600000000000000000000000000000000000000000002000220175317of 2 or more helpers isCNBG2552552550000000000000000000000001Arial800010179745740000000002000220175317000000000000000000000000000000000000000000000200022017531700010000000000000000000000000000000000000000000000000010000000000000000200022017531700000000000000000000000000000000000000000002000220175318required for the resident toCNBH2552552550000000000000000000000001Arial800010179745740000000002000220175318000000000000000000000000000000000000000000000200022017531800010000000000000000000000000000000000000000000000000010000000000000000200022017531800000000000000000000000000000000000000000002000220175319complete the activity.CNBI2552552550000000000000000000000001Arial800010179745740000000002000220175319000000000000000000000000000000000000000000000200022017531900010000000000000000000000000000000000000000000000000010000000000000000200022017531900000000000000000000000000000000000000000002000220175182Resident RefusedCOBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175182000000000000000000000000000000000000000000000200022017518200000000000000000000010100000000000000000000000000000010000000000000000200022017518200000000000000000000000000000000000000000002000220175182120002201751-10010200022017518212000220175175320002201751821200022017517532000220175185Not ApplicableCPBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175185000000000000000000000000000000000000000000000200022017518500000000000000000000010100000000000000000000000000000010000000000000000200022017518500000000000000000000000000000000000000000002000220175185120002201751-10010200022017518512000220175175320002201751851200022017517532000220175184Not Attempted - Medical/SafetyTm90IEF0dGVtcHRlZCBkdWUgdG8gTWVkaWNhbCBvciBTYWZldHkgQ29uY2VybnM=CQBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175184000000000000000000000000000000000000000000000200022017518400000000000000000000010100000000000000000000000000000010000000000000000200022017518400000000000000000000000000000000000000000002000220175184120002201751-10010200022017518412000220175175320002201751841200022017517532000220175320Not attempted due toCQBC2552552550000000000000000000000001Arial800010179745740000000002000220175320000000000000000000000000000000000000000000000200022017532000010000000000000000000000000000000000000000000000000010000000000000000200022017532000000000000000000000000000000000000000000002000220175321medical condition or safetyCQBD2552552550000000000000000000000001Arial800010179745740000000002000220175321000000000000000000000000000000000000000000000200022017532100010000000000000000000000000000000000000000000000000010000000000000000200022017532100000000000000000000000000000000000000000002000220175322concern.CQBE2552552550000000000000000000000001Arial800010179745740000000002000220175322000000000000000000000000000000000000000000000200022017532200010000000000000000000000000000000000000000000000000010000000000000000200022017532200000000000000000000000000000000000000000002000220175183Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpCRBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175183000000000000000000000000000000000000000000000200022017518300000000000000000000010100000000000000000000000000000010000000000000000200022017518300000000000000000000000000000000000000000002000220175183120002201751-10010200022017518312000220175175320002201751831200022017517532000220175323Not attempted due toCRBC2552552550000000000000000000000001Arial800010179745740000000002000220175323000000000000000000000000000000000000000000000200022017532300010000000000000000000000000000000000000000000000000010000000000000000200022017532300000000000000000000000000000000000000000002000220175324environmental limitationsCRBD2552552550000000000000000000000001Arial800010179745740000000002000220175324000000000000000000000000000000000000000000000200022017532400010000000000000000000000000000000000000000000000000010000000000000000200022017532400000000000000000000000000000000000000000002000220175325(e.g., lack of equipment,CRBE2552552550000000000000000000000001Arial800010179745740000000002000220175325000000000000000000000000000000000000000000000200022017532500010000000000000000000000000000000000000000000000000010000000000000000200022017532500000000000000000000000000000000000000000002000220175326weather constraints)CRBF2552552550000000000000000000000001Arial80001017974574000000000200022017532600000000000000000000000000000000000000000000020002201753260001000000000000000000000000000000000000000000000000001000000000000000020002201753260000000000000000000000000000000000000000000200022017596Resident completes theDAAC2552552550000000000000000000000001Arial80001017974574000000000200022017596000000000000000000000000000000000000000000000200022017596000100000000000000000000000000000000000000000000000000100000000000000002000220175960000000000000000000000000000000000000000000200022017597activity by him/herself withDAAD2552552550000000000000000000000001Arial80001017974574000000000200022017597000000000000000000000000000000000000000000000200022017597000100000000000000000000000000000000000000000000000000100000000000000002000220175970000000000000000000000000000000000000000000200022017598no assistance from a helper.DAAE2552552550000000000000000000000001Arial80001017974574000000000200022017598000000000000000000000000000000000000000000000200022017598000100000000000000000000000000000000000000000000000000100000000000000002000220175980000000000000000000000000000000000000000000200022017599Helper set up or cleans up;DBAC2552552550000000000000000000000001Arial800010179745740000000002000220175990000000000000000000000000000000000000000000002000220175990001000000000000000000000000000000000000000000000000001000000000000000020002201759900000000000000000000000000000000000000000002000220175100resident completes activity.DBAD2552552550000000000000000000000001Arial800010179745740000000002000220175100000000000000000000000000000000000000000000000200022017510000010000000000000000000000000000000000000000000000000010000000000000000200022017510000000000000000000000000000000000000000000002000220175101Helper assists only prior toDBAE2552552550000000000000000000000001Arial800010179745740000000002000220175101000000000000000000000000000000000000000000000200022017510100010000000000000000000000000000000000000000000000000010000000000000000200022017510100000000000000000000000000000000000000000002000220175102or following activity.DBAF2552552550000000000000000000000001Arial800010179745740000000002000220175102000000000000000000000000000000000000000000000200022017510200010000000000000000000000000000000000000000000000000010000000000000000200022017510200000000000000000000000000000000000000000002000220175103Helper provides verbal cuesDCAC2552552550000000000000000000000001Arial800010179745740000000002000220175103000000000000000000000000000000000000000000000200022017510300010000000000000000000000000000000000000000000000000010000000000000000200022017510300000000000000000000000000000000000000000002000220175104and/or touching/steadying and/DCAD2552552550000000000000000000000001Arial800010179745740000000002000220175104000000000000000000000000000000000000000000000200022017510400010000000000000000000000000000000000000000000000000010000000000000000200022017510400000000000000000000000000000000000000000002000220175233or contact guard assistanceDCAE2552552550000000000000000000000001Arial800010179745740000000002000220175233000000000000000000000000000000000000000000000200022017523300010000000000000000000000000000000000000000000000000010000000000000000200022017523300000000000000000000000000000000000000000002000220175105as resident completesDCAF2552552550000000000000000000000001Arial800010179745740000000002000220175105000000000000000000000000000000000000000000000200022017510500010000000000000000000000000000000000000000000000000010000000000000000200022017510500000000000000000000000000000000000000000002000220175106activity. Assistance may beDCAG2552552550000000000000000000000001Arial800010179745740000000002000220175106000000000000000000000000000000000000000000000200022017510600010000000000000000000000000000000000000000000000000010000000000000000200022017510600000000000000000000000000000000000000000002000220175107provided throughout theDCAH2552552550000000000000000000000001Arial800010179745740000000002000220175107000000000000000000000000000000000000000000000200022017510700010000000000000000000000000000000000000000000000000010000000000000000200022017510700000000000000000000000000000000000000000002000220175108activity or intermittently.DCAI2552552550000000000000000000000001Arial800010179745740000000002000220175108000000000000000000000000000000000000000000000200022017510800010000000000000000000000000000000000000000000000000010000000000000000200022017510800000000000000000000000000000000000000000002000220175109Helper does LESS THAN HALFDDAC2552552550000000000000000000000001Arial800010179745740000000002000220175109000000000000000000000000000000000000000000000200022017510900010000000000000000000000000000000000000000000000000010000000000000000200022017510900000000000000000000000000000000000000000002000220175110the effort. Helper lifts,DDAD2552552550000000000000000000000001Arial800010179745740000000002000220175110000000000000000000000000000000000000000000000200022017511000010000000000000000000000000000000000000000000000000010000000000000000200022017511000000000000000000000000000000000000000000002000220175111holds, or supports trunk orDDAE2552552550000000000000000000000001Arial800010179745740000000002000220175111000000000000000000000000000000000000000000000200022017511100010000000000000000000000000000000000000000000000000010000000000000000200022017511100000000000000000000000000000000000000000002000220175112limbs, but provides less thanDDAF2552552550000000000000000000000001Arial800010179745740000000002000220175112000000000000000000000000000000000000000000000200022017511200010000000000000000000000000000000000000000000000000010000000000000000200022017511200000000000000000000000000000000000000000002000220175113half the effort.DDAG2552552550000000000000000000000001Arial800010179745740000000002000220175113000000000000000000000000000000000000000000000200022017511300010000000000000000000000000000000000000000000000000010000000000000000200022017511300000000000000000000000000000000000000000002000220175114Helper does MORE THAN HALFDEAC2552552550000000000000000000000001Arial800010179745740000000002000220175114000000000000000000000000000000000000000000000200022017511400010000000000000000000000000000000000000000000000000010000000000000000200022017511400000000000000000000000000000000000000000002000220175115the effort. Helper lifts orDEAD2552552550000000000000000000000001Arial800010179745740000000002000220175115000000000000000000000000000000000000000000000200022017511500010000000000000000000000000000000000000000000000000010000000000000000200022017511500000000000000000000000000000000000000000002000220175116holds trunk or limbs andDEAE2552552550000000000000000000000001Arial800010179745740000000002000220175116000000000000000000000000000000000000000000000200022017511600010000000000000000000000000000000000000000000000000010000000000000000200022017511600000000000000000000000000000000000000000002000220175117provides more than halfDEAF2552552550000000000000000000000001Arial800010179745740000000002000220175117000000000000000000000000000000000000000000000200022017511700010000000000000000000000000000000000000000000000000010000000000000000200022017511700000000000000000000000000000000000000000002000220175118the effort.DEAG2552552550000000000000000000000001Arial800010179745740000000002000220175118000000000000000000000000000000000000000000000200022017511800010000000000000000000000000000000000000000000000000010000000000000000200022017511800000000000000000000000000000000000000000002000220175119Helper does all of the effort.DFAC2552552550000000000000000000000001Arial800010179745740000000002000220175119000000000000000000000000000000000000000000000200022017511900010000000000000000000000000000000000000000000000000010000000000000000200022017511900000000000000000000000000000000000000000002000220175120Resident does none of theDFAD2552552550000000000000000000000001Arial800010179745740000000002000220175120000000000000000000000000000000000000000000000200022017512000010000000000000000000000000000000000000000000000000010000000000000000200022017512000000000000000000000000000000000000000000002000220175121effort to complete theDFAE2552552550000000000000000000000001Arial800010179745740000000002000220175121000000000000000000000000000000000000000000000200022017512100010000000000000000000000000000000000000000000000000010000000000000000200022017512100000000000000000000000000000000000000000002000220175122activity. Or, the assistanceDFAF2552552550000000000000000000000001Arial800010179745740000000002000220175122000000000000000000000000000000000000000000000200022017512200010000000000000000000000000000000000000000000000000010000000000000000200022017512200000000000000000000000000000000000000000002000220175123of 2 or more helpers isDFAG2552552550000000000000000000000001Arial800010179745740000000002000220175123000000000000000000000000000000000000000000000200022017512300010000000000000000000000000000000000000000000000000010000000000000000200022017512300000000000000000000000000000000000000000002000220175124required for the resident toDFAH2552552550000000000000000000000001Arial800010179745740000000002000220175124000000000000000000000000000000000000000000000200022017512400010000000000000000000000000000000000000000000000000010000000000000000200022017512400000000000000000000000000000000000000000002000220175125complete the activity.DFAI2552552550000000000000000000000001Arial800010179745740000000002000220175125000000000000000000000000000000000000000000000200022017512500010000000000000000000000000000000000000000000000000010000000000000000200022017512500000000000000000000000000000000000000000002000220175126Not attempted due toDIAC2552552550000000000000000000000001Arial800010179745740000000002000220175126000000000000000000000000000000000000000000000200022017512600010000000000000000000000000000000000000000000000000010000000000000000200022017512600000000000000000000000000000000000000000002000220175127medical condition or safetyDIAD2552552550000000000000000000000001Arial800010179745740000000002000220175127000000000000000000000000000000000000000000000200022017512700010000000000000000000000000000000000000000000000000010000000000000000200022017512700000000000000000000000000000000000000000002000220175128concern.DIAE2552552550000000000000000000000001Arial800010179745740000000002000220175128000000000000000000000000000000000000000000000200022017512800010000000000000000000000000000000000000000000000000010000000000000000200022017512800000000000000000000000000000000000000000002000220175174Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpDJAB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175174000000000000000000000000000000000000000000000200022017517400000000000000000000010100000000000000000000000000000010000000000000000200022017517400000000000000000000000000000000000000000002000220175174120002201751-1001020002201751741200022017573200022017517412000220175732000220175227Not attempted due toDJAC2552552550000000000000000000000001Arial800010179745740000000002000220175227000000000000000000000000000000000000000000000200022017522700010000000000000000000000000000000000000000000000000010000000000000000200022017522700000000000000000000000000000000000000000002000220175226environmental limitationsDJAD2552552550000000000000000000000001Arial800010179745740000000002000220175226000000000000000000000000000000000000000000000200022017522600010000000000000000000000000000000000000000000000000010000000000000000200022017522600000000000000000000000000000000000000000002000220175225(e.g., lack of equipment,DJAE2552552550000000000000000000000001Arial800010179745740000000002000220175225000000000000000000000000000000000000000000000200022017522500010000000000000000000000000000000000000000000000000010000000000000000200022017522500000000000000000000000000000000000000000002000220175224weather constraints)DJAF2552552550000000000000000000000001Arial800010179745740000000002000220175224000000000000000000000000000000000000000000000200022017522400010000000000000000000000000000000000000000000000000010000000000000000200022017522400000000000000000000000000000000000000000002000220175213START OVERDRBA1281286425525525500000001000000001105251021001Arial1407550101842150400000000020002201752130000000000000000000000000000000000000000000002000220175213000100000000000000000100000000000000000000000000000065536010000000000000000200022017521300000000000000000000000000000000000000000002000220175213120002201751-1001020002201752131302000220175188IndependentDRBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175188000000000000000000000000000000000000000000000200022017518800000000000000000000010100000000000000000000000000000010000000000000000200022017518800000000000000000000000000000000000000000002000220175188120002201751-10010200022017518812000220175187320002201751881200022017518732000220175327Resident completes theDRBC2552552550000000000000000000000001Arial800010179745740000000002000220175327000000000000000000000000000000000000000000000200022017532700010000000000000000000000000000000000000000000000000010000000000000000200022017532700000000000000000000000000000000000000000002000220175328activity by him/herself withDRBD2552552550000000000000000000000001Arial800010179745740000000002000220175328000000000000000000000000000000000000000000000200022017532800010000000000000000000000000000000000000000000000000010000000000000000200022017532800000000000000000000000000000000000000000002000220175329no assistance from a helper.DRBE2552552550000000000000000000000001Arial800010179745740000000002000220175329000000000000000000000000000000000000000000000200022017532900010000000000000000000000000000000000000000000000000010000000000000000200022017532900000000000000000000000000000000000000000002000220175214Lower Body Dressing Perf.DSBA2552552551280640000000000000000000001Arial121126010179745740000000002000220175214000000000000000000000000000000000000000000000200022017521400010000000000000000000000000000000000000000000000000010000000000000000200022017521400000000000000000000000000000000000000000002000220175189Setup or Clean-Up AssistanceDSBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175189000000000000000000000000000000000000000000000200022017518900000000000000000000010100000000000000000000000000000010000000000000000200022017518900000000000000000000000000000000000000000002000220175189120002201751-10010200022017518912000220175187320002201751891200022017518732000220175330Helper set up or cleans up;DSBC2552552550000000000000000000000001Arial800010179745740000000002000220175330000000000000000000000000000000000000000000000200022017533000010000000000000000000000000000000000000000000000000010000000000000000200022017533000000000000000000000000000000000000000000002000220175331resident completes activity.DSBD2552552550000000000000000000000001Arial800010179745740000000002000220175331000000000000000000000000000000000000000000000200022017533100010000000000000000000000000000000000000000000000000010000000000000000200022017533100000000000000000000000000000000000000000002000220175332Helper assists only prior toDSBE2552552550000000000000000000000001Arial800010179745740000000002000220175332000000000000000000000000000000000000000000000200022017533200010000000000000000000000000000000000000000000000000010000000000000000200022017533200000000000000000000000000000000000000000002000220175333or following activity.DSBF2552552550000000000000000000000001Arial800010179745740000000002000220175333000000000000000000000000000000000000000000000200022017533300010000000000000000000000000000000000000000000000000010000000000000000200022017533300000000000000000000000000000000000000000002000220175190Supervision or Touching Assistc3VwZXJ2aXNpb24gb3IgdG91Y2hpbmcgYXNzaXN0YW5jZQ==DTBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175190000000000000000000000000000000000000000000000200022017519000000000000000000000010100000000000000000000000000000010000000000000000200022017519000000000000000000000000000000000000000000002000220175190120002201751-10010200022017519012000220175187320002201751901200022017518732000220175334Helper provides verbal cuesDTBC2552552550000000000000000000000001Arial800010179745740000000002000220175334000000000000000000000000000000000000000000000200022017533400010000000000000000000000000000000000000000000000000010000000000000000200022017533400000000000000000000000000000000000000000002000220175335and/or touching/steadying and/DTBD2552552550000000000000000000000001Arial800010179745740000000002000220175335000000000000000000000000000000000000000000000200022017533500010000000000000000000000000000000000000000000000000010000000000000000200022017533500000000000000000000000000000000000000000002000220175336or contact guard assistanceDTBE2552552550000000000000000000000001Arial800010179745740000000002000220175336000000000000000000000000000000000000000000000200022017533600010000000000000000000000000000000000000000000000000010000000000000000200022017533600000000000000000000000000000000000000000002000220175337as resident completesDTBF2552552550000000000000000000000001Arial800010179745740000000002000220175337000000000000000000000000000000000000000000000200022017533700010000000000000000000000000000000000000000000000000010000000000000000200022017533700000000000000000000000000000000000000000002000220175338activity. Assistance may beDTBG2552552550000000000000000000000001Arial800010179745740000000002000220175338000000000000000000000000000000000000000000000200022017533800010000000000000000000000000000000000000000000000000010000000000000000200022017533800000000000000000000000000000000000000000002000220175339provided throughout theDTBH2552552550000000000000000000000001Arial800010179745740000000002000220175339000000000000000000000000000000000000000000000200022017533900010000000000000000000000000000000000000000000000000010000000000000000200022017533900000000000000000000000000000000000000000002000220175340activity or intermittently.DTBI2552552550000000000000000000000001Arial800010179745740000000002000220175340000000000000000000000000000000000000000000000200022017534000010000000000000000000000000000000000000000000000000010000000000000000200022017534000000000000000000000000000000000000000000002000220175191Partial/Moderate AssistDUBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175191000000000000000000000000000000000000000000000200022017519100000000000000000000010100000000000000000000000000000010000000000000000200022017519100000000000000000000000000000000000000000002000220175191120002201751-10010200022017519112000220175187320002201751911200022017518732000220175341Helper does LESS THAN HALFDUBC2552552550000000000000000000000001Arial800010179745740000000002000220175341000000000000000000000000000000000000000000000200022017534100010000000000000000000000000000000000000000000000000010000000000000000200022017534100000000000000000000000000000000000000000002000220175342the effort. Helper lifts,DUBD2552552550000000000000000000000001Arial800010179745740000000002000220175342000000000000000000000000000000000000000000000200022017534200010000000000000000000000000000000000000000000000000010000000000000000200022017534200000000000000000000000000000000000000000002000220175343holds, or supports trunk orDUBE2552552550000000000000000000000001Arial800010179745740000000002000220175343000000000000000000000000000000000000000000000200022017534300010000000000000000000000000000000000000000000000000010000000000000000200022017534300000000000000000000000000000000000000000002000220175344limbs, but provides less thanDUBF2552552550000000000000000000000001Arial800010179745740000000002000220175344000000000000000000000000000000000000000000000200022017534400010000000000000000000000000000000000000000000000000010000000000000000200022017534400000000000000000000000000000000000000000002000220175345half the effort.DUBG2552552550000000000000000000000001Arial800010179745740000000002000220175345000000000000000000000000000000000000000000000200022017534500010000000000000000000000000000000000000000000000000010000000000000000200022017534500000000000000000000000000000000000000000002000220175192Substantial/Maximal AssistDVBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175192000000000000000000000000000000000000000000000200022017519200000000000000000000010100000000000000000000000000000010000000000000000200022017519200000000000000000000000000000000000000000002000220175192120002201751-10010200022017519212000220175187320002201751921200022017518732000220175346Helper does MORE THAN HALFDVBC2552552550000000000000000000000001Arial800010179745740000000002000220175346000000000000000000000000000000000000000000000200022017534600010000000000000000000000000000000000000000000000000010000000000000000200022017534600000000000000000000000000000000000000000002000220175347the effort. Helper lifts orDVBD2552552550000000000000000000000001Arial800010179745740000000002000220175347000000000000000000000000000000000000000000000200022017534700010000000000000000000000000000000000000000000000000010000000000000000200022017534700000000000000000000000000000000000000000002000220175348holds trunk or limbs andDVBE2552552550000000000000000000000001Arial800010179745740000000002000220175348000000000000000000000000000000000000000000000200022017534800010000000000000000000000000000000000000000000000000010000000000000000200022017534800000000000000000000000000000000000000000002000220175349provides more than halfDVBF2552552550000000000000000000000001Arial800010179745740000000002000220175349000000000000000000000000000000000000000000000200022017534900010000000000000000000000000000000000000000000000000010000000000000000200022017534900000000000000000000000000000000000000000002000220175350the effort.DVBG2552552550000000000000000000000001Arial800010179745740000000002000220175350000000000000000000000000000000000000000000000200022017535000010000000000000000000000000000000000000000000000000010000000000000000200022017535000000000000000000000000000000000000000000002000220175193DependentDWBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175193000000000000000000000000000000000000000000000200022017519300000000000000000000010100000000000000000000000000000010000000000000000200022017519300000000000000000000000000000000000000000002000220175193120002201751-10010200022017519312000220175187320002201751931200022017518732000220175351Helper does all of the effort.DWBC2552552550000000000000000000000001Arial800010179745740000000002000220175351000000000000000000000000000000000000000000000200022017535100010000000000000000000000000000000000000000000000000010000000000000000200022017535100000000000000000000000000000000000000000002000220175352Resident does none of theDWBD2552552550000000000000000000000001Arial800010179745740000000002000220175352000000000000000000000000000000000000000000000200022017535200010000000000000000000000000000000000000000000000000010000000000000000200022017535200000000000000000000000000000000000000000002000220175353effort to complete theDWBE2552552550000000000000000000000001Arial800010179745740000000002000220175353000000000000000000000000000000000000000000000200022017535300010000000000000000000000000000000000000000000000000010000000000000000200022017535300000000000000000000000000000000000000000002000220175354activity. Or, the assistanceDWBF2552552550000000000000000000000001Arial800010179745740000000002000220175354000000000000000000000000000000000000000000000200022017535400010000000000000000000000000000000000000000000000000010000000000000000200022017535400000000000000000000000000000000000000000002000220175355of 2 or more helpers isDWBG2552552550000000000000000000000001Arial800010179745740000000002000220175355000000000000000000000000000000000000000000000200022017535500010000000000000000000000000000000000000000000000000010000000000000000200022017535500000000000000000000000000000000000000000002000220175356required for the resident toDWBH2552552550000000000000000000000001Arial800010179745740000000002000220175356000000000000000000000000000000000000000000000200022017535600010000000000000000000000000000000000000000000000000010000000000000000200022017535600000000000000000000000000000000000000000002000220175357complete the activity.DWBI2552552550000000000000000000000001Arial800010179745740000000002000220175357000000000000000000000000000000000000000000000200022017535700010000000000000000000000000000000000000000000000000010000000000000000200022017535700000000000000000000000000000000000000000002000220175194Resident RefusedDXBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175194000000000000000000000000000000000000000000000200022017519400000000000000000000010100000000000000000000000000000010000000000000000200022017519400000000000000000000000000000000000000000002000220175194120002201751-10010200022017519412000220175187320002201751941200022017518732000220175197Not ApplicableDYBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175197000000000000000000000000000000000000000000000200022017519700000000000000000000010100000000000000000000000000000010000000000000000200022017519700000000000000000000000000000000000000000002000220175197120002201751-10010200022017519712000220175187320002201751971200022017518732000220175196Not Attempted - Medical/SafetyTm90IEF0dGVtcHRlZCBkdWUgdG8gTWVkaWNhbCBvciBTYWZldHkgQ29uY2VybnM=DZBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175196000000000000000000000000000000000000000000000200022017519600000000000000000000010100000000000000000000000000000010000000000000000200022017519600000000000000000000000000000000000000000002000220175196120002201751-10010200022017519612000220175187320002201751961200022017518732000220175358Not attempted due toDZBC2552552550000000000000000000000001Arial800010179745740000000002000220175358000000000000000000000000000000000000000000000200022017535800010000000000000000000000000000000000000000000000000010000000000000000200022017535800000000000000000000000000000000000000000002000220175359medical condition or safetyDZBD2552552550000000000000000000000001Arial800010179745740000000002000220175359000000000000000000000000000000000000000000000200022017535900010000000000000000000000000000000000000000000000000010000000000000000200022017535900000000000000000000000000000000000000000002000220175360concern.DZBE2552552550000000000000000000000001Arial800010179745740000000002000220175360000000000000000000000000000000000000000000000200022017536000010000000000000000000000000000000000000000000000000010000000000000000200022017536000000000000000000000000000000000000000000002000220175195Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpEABB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175195000000000000000000000000000000000000000000000200022017519500000000000000000000010100000000000000000000000000000010000000000000000200022017519500000000000000000000000000000000000000000002000220175195120002201751-10010200022017519512000220175187320002201751951200022017518732000220175361Not attempted due toEABC2552552550000000000000000000000001Arial800010179745740000000002000220175361000000000000000000000000000000000000000000000200022017536100010000000000000000000000000000000000000000000000000010000000000000000200022017536100000000000000000000000000000000000000000002000220175362environmental limitationsEABD2552552550000000000000000000000001Arial800010179745740000000002000220175362000000000000000000000000000000000000000000000200022017536200010000000000000000000000000000000000000000000000000010000000000000000200022017536200000000000000000000000000000000000000000002000220175363(e.g., lack of equipment,EABE2552552550000000000000000000000001Arial800010179745740000000002000220175363000000000000000000000000000000000000000000000200022017536300010000000000000000000000000000000000000000000000000010000000000000000200022017536300000000000000000000000000000000000000000002000220175364weather constraints)EABF2552552550000000000000000000000001Arial800010179745740000000002000220175364000000000000000000000000000000000000000000000200022017536400010000000000000000000000000000000000000000000000000010000000000000000200022017536400000000000000000000000000000000000000000002000220175129Resident completes theERAC2552552550000000000000000000000001Arial800010179745740000000002000220175129000000000000000000000000000000000000000000000200022017512900010000000000000000000000000000000000000000000000000010000000000000000200022017512900000000000000000000000000000000000000000002000220175130activity by him/herself withERAD2552552550000000000000000000000001Arial800010179745740000000002000220175130000000000000000000000000000000000000000000000200022017513000010000000000000000000000000000000000000000000000000010000000000000000200022017513000000000000000000000000000000000000000000002000220175131no assistance from a helper.ERAE2552552550000000000000000000000001Arial800010179745740000000002000220175131000000000000000000000000000000000000000000000200022017513100010000000000000000000000000000000000000000000000000010000000000000000200022017513100000000000000000000000000000000000000000002000220175132Helper set up or cleans up;ESAC2552552550000000000000000000000001Arial800010179745740000000002000220175132000000000000000000000000000000000000000000000200022017513200010000000000000000000000000000000000000000000000000010000000000000000200022017513200000000000000000000000000000000000000000002000220175133resident completes activity.ESAD2552552550000000000000000000000001Arial800010179745740000000002000220175133000000000000000000000000000000000000000000000200022017513300010000000000000000000000000000000000000000000000000010000000000000000200022017513300000000000000000000000000000000000000000002000220175134Helper assists only prior toESAE2552552550000000000000000000000001Arial800010179745740000000002000220175134000000000000000000000000000000000000000000000200022017513400010000000000000000000000000000000000000000000000000010000000000000000200022017513400000000000000000000000000000000000000000002000220175135or following activity.ESAF2552552550000000000000000000000001Arial800010179745740000000002000220175135000000000000000000000000000000000000000000000200022017513500010000000000000000000000000000000000000000000000000010000000000000000200022017513500000000000000000000000000000000000000000002000220175136Helper provides verbal cuesETAC2552552550000000000000000000000001Arial800010179745740000000002000220175136000000000000000000000000000000000000000000000200022017513600010000000000000000000000000000000000000000000000000010000000000000000200022017513600000000000000000000000000000000000000000002000220175137and/or touching/steadying and/ETAD2552552550000000000000000000000001Arial800010179745740000000002000220175137000000000000000000000000000000000000000000000200022017513700010000000000000000000000000000000000000000000000000010000000000000000200022017513700000000000000000000000000000000000000000002000220175219or contact guard assistanceETAE2552552550000000000000000000000001Arial800010179745740000000002000220175219000000000000000000000000000000000000000000000200022017521900010000000000000000000000000000000000000000000000000010000000000000000200022017521900000000000000000000000000000000000000000002000220175138as resident completesETAF2552552550000000000000000000000001Arial800010179745740000000002000220175138000000000000000000000000000000000000000000000200022017513800010000000000000000000000000000000000000000000000000010000000000000000200022017513800000000000000000000000000000000000000000002000220175139activity. Assistance may beETAG2552552550000000000000000000000001Arial800010179745740000000002000220175139000000000000000000000000000000000000000000000200022017513900010000000000000000000000000000000000000000000000000010000000000000000200022017513900000000000000000000000000000000000000000002000220175140provided throughout theETAH2552552550000000000000000000000001Arial800010179745740000000002000220175140000000000000000000000000000000000000000000000200022017514000010000000000000000000000000000000000000000000000000010000000000000000200022017514000000000000000000000000000000000000000000002000220175141activity or intermittently.ETAI2552552550000000000000000000000001Arial800010179745740000000002000220175141000000000000000000000000000000000000000000000200022017514100010000000000000000000000000000000000000000000000000010000000000000000200022017514100000000000000000000000000000000000000000002000220175142Helper does LESS THAN HALFEUAC2552552550000000000000000000000001Arial800010179745740000000002000220175142000000000000000000000000000000000000000000000200022017514200010000000000000000000000000000000000000000000000000010000000000000000200022017514200000000000000000000000000000000000000000002000220175143the effort. Helper lifts,EUAD2552552550000000000000000000000001Arial800010179745740000000002000220175143000000000000000000000000000000000000000000000200022017514300010000000000000000000000000000000000000000000000000010000000000000000200022017514300000000000000000000000000000000000000000002000220175144holds, or supports trunk orEUAE2552552550000000000000000000000001Arial800010179745740000000002000220175144000000000000000000000000000000000000000000000200022017514400010000000000000000000000000000000000000000000000000010000000000000000200022017514400000000000000000000000000000000000000000002000220175145limbs, but provides less thanEUAF2552552550000000000000000000000001Arial800010179745740000000002000220175145000000000000000000000000000000000000000000000200022017514500010000000000000000000000000000000000000000000000000010000000000000000200022017514500000000000000000000000000000000000000000002000220175146half the effort.EUAG2552552550000000000000000000000001Arial800010179745740000000002000220175146000000000000000000000000000000000000000000000200022017514600010000000000000000000000000000000000000000000000000010000000000000000200022017514600000000000000000000000000000000000000000002000220175147Helper does MORE THAN HALFEVAC2552552550000000000000000000000001Arial800010179745740000000002000220175147000000000000000000000000000000000000000000000200022017514700010000000000000000000000000000000000000000000000000010000000000000000200022017514700000000000000000000000000000000000000000002000220175148the effort. Helper lifts orEVAD2552552550000000000000000000000001Arial800010179745740000000002000220175148000000000000000000000000000000000000000000000200022017514800010000000000000000000000000000000000000000000000000010000000000000000200022017514800000000000000000000000000000000000000000002000220175149holds trunk or limbs andEVAE2552552550000000000000000000000001Arial800010179745740000000002000220175149000000000000000000000000000000000000000000000200022017514900010000000000000000000000000000000000000000000000000010000000000000000200022017514900000000000000000000000000000000000000000002000220175150provides more than halfEVAF2552552550000000000000000000000001Arial800010179745740000000002000220175150000000000000000000000000000000000000000000000200022017515000010000000000000000000000000000000000000000000000000010000000000000000200022017515000000000000000000000000000000000000000000002000220175151the effort.EVAG2552552550000000000000000000000001Arial800010179745740000000002000220175151000000000000000000000000000000000000000000000200022017515100010000000000000000000000000000000000000000000000000010000000000000000200022017515100000000000000000000000000000000000000000002000220175152Helper does all of the effort.EWAC2552552550000000000000000000000001Arial800010179745740000000002000220175152000000000000000000000000000000000000000000000200022017515200010000000000000000000000000000000000000000000000000010000000000000000200022017515200000000000000000000000000000000000000000002000220175153Resident does none of theEWAD2552552550000000000000000000000001Arial800010179745740000000002000220175153000000000000000000000000000000000000000000000200022017515300010000000000000000000000000000000000000000000000000010000000000000000200022017515300000000000000000000000000000000000000000002000220175154effort to complete theEWAE2552552550000000000000000000000001Arial800010179745740000000002000220175154000000000000000000000000000000000000000000000200022017515400010000000000000000000000000000000000000000000000000010000000000000000200022017515400000000000000000000000000000000000000000002000220175155activity. Or, the assistanceEWAF2552552550000000000000000000000001Arial800010179745740000000002000220175155000000000000000000000000000000000000000000000200022017515500010000000000000000000000000000000000000000000000000010000000000000000200022017515500000000000000000000000000000000000000000002000220175156of 2 or more helpers isEWAG2552552550000000000000000000000001Arial800010179745740000000002000220175156000000000000000000000000000000000000000000000200022017515600010000000000000000000000000000000000000000000000000010000000000000000200022017515600000000000000000000000000000000000000000002000220175157required for the resident toEWAH2552552550000000000000000000000001Arial800010179745740000000002000220175157000000000000000000000000000000000000000000000200022017515700010000000000000000000000000000000000000000000000000010000000000000000200022017515700000000000000000000000000000000000000000002000220175158complete the activity.EWAI2552552550000000000000000000000001Arial800010179745740000000002000220175158000000000000000000000000000000000000000000000200022017515800010000000000000000000000000000000000000000000000000010000000000000000200022017515800000000000000000000000000000000000000000002000220175159Not attempted due toEZAC2552552550000000000000000000000001Arial800010179745740000000002000220175159000000000000000000000000000000000000000000000200022017515900010000000000000000000000000000000000000000000000000010000000000000000200022017515900000000000000000000000000000000000000000002000220175160medical condition or safetyEZAD2552552550000000000000000000000001Arial800010179745740000000002000220175160000000000000000000000000000000000000000000000200022017516000010000000000000000000000000000000000000000000000000010000000000000000200022017516000000000000000000000000000000000000000000002000220175161concern.EZAE2552552550000000000000000000000001Arial800010179745740000000002000220175161000000000000000000000000000000000000000000000200022017516100010000000000000000000000000000000000000000000000000010000000000000000200022017516100000000000000000000000000000000000000000002000220175186Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpFAAB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175186000000000000000000000000000000000000000000000200022017518600000000000000000000010100000000000000000000000000000010000000000000000200022017518600000000000000000000000000000000000000000002000220175186120002201751-1001020002201751861200022017583200022017518612000220175832000220175220Not attempted due toFAAC2552552550000000000000000000000001Arial800010179745740000000002000220175220000000000000000000000000000000000000000000000200022017522000010000000000000000000000000000000000000000000000000010000000000000000200022017522000000000000000000000000000000000000000000002000220175221environmental limitationsFAAD2552552550000000000000000000000001Arial800010179745740000000002000220175221000000000000000000000000000000000000000000000200022017522100010000000000000000000000000000000000000000000000000010000000000000000200022017522100000000000000000000000000000000000000000002000220175222(e.g., lack of equipment,FAAE2552552550000000000000000000000001Arial800010179745740000000002000220175222000000000000000000000000000000000000000000000200022017522200010000000000000000000000000000000000000000000000000010000000000000000200022017522200000000000000000000000000000000000000000002000220175223weather constraints)FAAF2552552550000000000000000000000001Arial800010179745740000000002000220175223000000000000000000000000000000000000000000000200022017522300010000000000000000000000000000000000000000000000000010000000000000000200022017522300000000000000000000000000000000000000000002000220175215START OVERFIBA1281286425525525500000001000000001105251021001Arial1407550101842150400000000020002201752150000000000000000000000000000000000000000000002000220175215000100000000000000000100000000000000000000000000000065536010000000000000000200022017521500000000000000000000000000000000000000000002000220175215120002201751-1001020002201752151302000220175199IndependentFIBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175199000000000000000000000000000000000000000000000200022017519900000000000000000000010100000000000000000000000000000010000000000000000200022017519900000000000000000000000000000000000000000002000220175199120002201751-10010200022017519912000220175198320002201751991200022017519832000220175365Resident completes theFIBC2552552550000000000000000000000001Arial800010179745740000000002000220175365000000000000000000000000000000000000000000000200022017536500010000000000000000000000000000000000000000000000000010000000000000000200022017536500000000000000000000000000000000000000000002000220175366activity by him/herself withFIBD2552552550000000000000000000000001Arial800010179745740000000002000220175366000000000000000000000000000000000000000000000200022017536600010000000000000000000000000000000000000000000000000010000000000000000200022017536600000000000000000000000000000000000000000002000220175367no assistance from a helper.FIBE2552552550000000000000000000000001Arial800010179745740000000002000220175367000000000000000000000000000000000000000000000200022017536700010000000000000000000000000000000000000000000000000010000000000000000200022017536700000000000000000000000000000000000000000002000220175216Footwear PerformanceFJBA2552552551280640000000000000000000001Arial121126010179745740000000002000220175216000000000000000000000000000000000000000000000200022017521600010000000000000000000000000000000000000000000000000010000000000000000200022017521600000000000000000000000000000000000000000002000220175200Setup or Clean-Up AssistanceFJBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175200000000000000000000000000000000000000000000000200022017520000000000000000000000010100000000000000000000000000000010000000000000000200022017520000000000000000000000000000000000000000000002000220175200120002201751-10010200022017520012000220175198320002201752001200022017519832000220175368Helper set up or cleans up;FJBC2552552550000000000000000000000001Arial800010179745740000000002000220175368000000000000000000000000000000000000000000000200022017536800010000000000000000000000000000000000000000000000000010000000000000000200022017536800000000000000000000000000000000000000000002000220175369resident completes activity.FJBD2552552550000000000000000000000001Arial800010179745740000000002000220175369000000000000000000000000000000000000000000000200022017536900010000000000000000000000000000000000000000000000000010000000000000000200022017536900000000000000000000000000000000000000000002000220175370Helper assists only prior toFJBE2552552550000000000000000000000001Arial800010179745740000000002000220175370000000000000000000000000000000000000000000000200022017537000010000000000000000000000000000000000000000000000000010000000000000000200022017537000000000000000000000000000000000000000000002000220175371or following activity.FJBF2552552550000000000000000000000001Arial800010179745740000000002000220175371000000000000000000000000000000000000000000000200022017537100010000000000000000000000000000000000000000000000000010000000000000000200022017537100000000000000000000000000000000000000000002000220175201Supervision or Touching Assistc3VwZXJ2aXNpb24gb3IgdG91Y2hpbmcgYXNzaXN0YW5jZQ==FKBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175201000000000000000000000000000000000000000000000200022017520100000000000000000000010100000000000000000000000000000010000000000000000200022017520100000000000000000000000000000000000000000002000220175201120002201751-10010200022017520112000220175198320002201752011200022017519832000220175372Helper provides verbal cuesFKBC2552552550000000000000000000000001Arial800010179745740000000002000220175372000000000000000000000000000000000000000000000200022017537200010000000000000000000000000000000000000000000000000010000000000000000200022017537200000000000000000000000000000000000000000002000220175373and/or touching/steadying and/FKBD2552552550000000000000000000000001Arial800010179745740000000002000220175373000000000000000000000000000000000000000000000200022017537300010000000000000000000000000000000000000000000000000010000000000000000200022017537300000000000000000000000000000000000000000002000220175374or contact guard assistanceFKBE2552552550000000000000000000000001Arial800010179745740000000002000220175374000000000000000000000000000000000000000000000200022017537400010000000000000000000000000000000000000000000000000010000000000000000200022017537400000000000000000000000000000000000000000002000220175375as resident 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Assistance may beFKBG2552552550000000000000000000000001Arial800010179745740000000002000220175376000000000000000000000000000000000000000000000200022017537600010000000000000000000000000000000000000000000000000010000000000000000200022017537600000000000000000000000000000000000000000002000220175377provided throughout theFKBH2552552550000000000000000000000001Arial800010179745740000000002000220175377000000000000000000000000000000000000000000000200022017537700010000000000000000000000000000000000000000000000000010000000000000000200022017537700000000000000000000000000000000000000000002000220175378activity or intermittently.FKBI2552552550000000000000000000000001Arial800010179745740000000002000220175378000000000000000000000000000000000000000000000200022017537800010000000000000000000000000000000000000000000000000010000000000000000200022017537800000000000000000000000000000000000000000002000220175202Partial/Moderate AssistFLBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175202000000000000000000000000000000000000000000000200022017520200000000000000000000010100000000000000000000000000000010000000000000000200022017520200000000000000000000000000000000000000000002000220175202120002201751-10010200022017520212000220175198320002201752021200022017519832000220175379Helper does LESS THAN HALFFLBC2552552550000000000000000000000001Arial800010179745740000000002000220175379000000000000000000000000000000000000000000000200022017537900010000000000000000000000000000000000000000000000000010000000000000000200022017537900000000000000000000000000000000000000000002000220175380the effort. Helper lifts,FLBD2552552550000000000000000000000001Arial800010179745740000000002000220175380000000000000000000000000000000000000000000000200022017538000010000000000000000000000000000000000000000000000000010000000000000000200022017538000000000000000000000000000000000000000000002000220175381holds, or supports trunk orFLBE2552552550000000000000000000000001Arial800010179745740000000002000220175381000000000000000000000000000000000000000000000200022017538100010000000000000000000000000000000000000000000000000010000000000000000200022017538100000000000000000000000000000000000000000002000220175382limbs, but provides less thanFLBF2552552550000000000000000000000001Arial800010179745740000000002000220175382000000000000000000000000000000000000000000000200022017538200010000000000000000000000000000000000000000000000000010000000000000000200022017538200000000000000000000000000000000000000000002000220175383half the effort.FLBG2552552550000000000000000000000001Arial800010179745740000000002000220175383000000000000000000000000000000000000000000000200022017538300010000000000000000000000000000000000000000000000000010000000000000000200022017538300000000000000000000000000000000000000000002000220175203substantial/maximal assistanceFMBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175203000000000000000000000000000000000000000000000200022017520300000000000000000000010100000000000000000000000000000010000000000000000200022017520300000000000000000000000000000000000000000002000220175203120002201751-10010200022017520312000220175198320002201752031200022017519832000220175384Helper does MORE THAN HALFFMBC2552552550000000000000000000000001Arial800010179745740000000002000220175384000000000000000000000000000000000000000000000200022017538400010000000000000000000000000000000000000000000000000010000000000000000200022017538400000000000000000000000000000000000000000002000220175385the effort. Helper lifts orFMBD2552552550000000000000000000000001Arial800010179745740000000002000220175385000000000000000000000000000000000000000000000200022017538500010000000000000000000000000000000000000000000000000010000000000000000200022017538500000000000000000000000000000000000000000002000220175386holds trunk or limbs andFMBE2552552550000000000000000000000001Arial800010179745740000000002000220175386000000000000000000000000000000000000000000000200022017538600010000000000000000000000000000000000000000000000000010000000000000000200022017538600000000000000000000000000000000000000000002000220175387provides more than halfFMBF2552552550000000000000000000000001Arial800010179745740000000002000220175387000000000000000000000000000000000000000000000200022017538700010000000000000000000000000000000000000000000000000010000000000000000200022017538700000000000000000000000000000000000000000002000220175388the effort.FMBG2552552550000000000000000000000001Arial800010179745740000000002000220175388000000000000000000000000000000000000000000000200022017538800010000000000000000000000000000000000000000000000000010000000000000000200022017538800000000000000000000000000000000000000000002000220175204DependentFNBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175204000000000000000000000000000000000000000000000200022017520400000000000000000000010100000000000000000000000000000010000000000000000200022017520400000000000000000000000000000000000000000002000220175204120002201751-10010200022017520412000220175198320002201752041200022017519832000220175389Helper does all of the effort.FNBC2552552550000000000000000000000001Arial800010179745740000000002000220175389000000000000000000000000000000000000000000000200022017538900010000000000000000000000000000000000000000000000000010000000000000000200022017538900000000000000000000000000000000000000000002000220175390Resident does none of theFNBD2552552550000000000000000000000001Arial800010179745740000000002000220175390000000000000000000000000000000000000000000000200022017539000010000000000000000000000000000000000000000000000000010000000000000000200022017539000000000000000000000000000000000000000000002000220175391effort to complete theFNBE2552552550000000000000000000000001Arial800010179745740000000002000220175391000000000000000000000000000000000000000000000200022017539100010000000000000000000000000000000000000000000000000010000000000000000200022017539100000000000000000000000000000000000000000002000220175392activity. Or, the assistanceFNBF2552552550000000000000000000000001Arial800010179745740000000002000220175392000000000000000000000000000000000000000000000200022017539200010000000000000000000000000000000000000000000000000010000000000000000200022017539200000000000000000000000000000000000000000002000220175393of 2 or more helpers isFNBG2552552550000000000000000000000001Arial800010179745740000000002000220175393000000000000000000000000000000000000000000000200022017539300010000000000000000000000000000000000000000000000000010000000000000000200022017539300000000000000000000000000000000000000000002000220175394required for the resident toFNBH2552552550000000000000000000000001Arial800010179745740000000002000220175394000000000000000000000000000000000000000000000200022017539400010000000000000000000000000000000000000000000000000010000000000000000200022017539400000000000000000000000000000000000000000002000220175395complete the activity.FNBI2552552550000000000000000000000001Arial800010179745740000000002000220175395000000000000000000000000000000000000000000000200022017539500010000000000000000000000000000000000000000000000000010000000000000000200022017539500000000000000000000000000000000000000000002000220175205Resident RefusedFOBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175205000000000000000000000000000000000000000000000200022017520500000000000000000000010100000000000000000000000000000010000000000000000200022017520500000000000000000000000000000000000000000002000220175205120002201751-10010200022017520512000220175198320002201752051200022017519832000220175208Not ApplicableFPBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175208000000000000000000000000000000000000000000000200022017520800000000000000000000010100000000000000000000000000000010000000000000000200022017520800000000000000000000000000000000000000000002000220175208120002201751-10010200022017520812000220175198320002201752081200022017519832000220175207Not Attempted - Medical/SafetyTm90IEF0dGVtcHRlZCBkdWUgdG8gTWVkaWNhbCBvciBTYWZldHkgQ29uY2VybnM=FQBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175207000000000000000000000000000000000000000000000200022017520700000000000000000000010100000000000000000000000000000010000000000000000200022017520700000000000000000000000000000000000000000002000220175207120002201751-10010200022017520712000220175198320002201752071200022017519832000220175396Not attempted due toFQBC2552552550000000000000000000000001Arial800010179745740000000002000220175396000000000000000000000000000000000000000000000200022017539600010000000000000000000000000000000000000000000000000010000000000000000200022017539600000000000000000000000000000000000000000002000220175397medical condition or safetyFQBD2552552550000000000000000000000001Arial800010179745740000000002000220175397000000000000000000000000000000000000000000000200022017539700010000000000000000000000000000000000000000000000000010000000000000000200022017539700000000000000000000000000000000000000000002000220175398concern.FQBE2552552550000000000000000000000001Arial800010179745740000000002000220175398000000000000000000000000000000000000000000000200022017539800010000000000000000000000000000000000000000000000000010000000000000000200022017539800000000000000000000000000000000000000000002000220175206Not Attempted - EnvironmentTm90IGF0dGVtcHRlZCBkdWUgdG8gZW52aXJvbm1lbnRhbCBsaW1pdGF0aW9ucyAoZS5nLiwgbGFj ayBvZiBlcXVpcG1lbnQsIHdlYXRoZXIgY29uc3RyYWludHMpFRBB22622721000000000101000000001105251021001Arial121150174112100766060000000002000220175206000000000000000000000000000000000000000000000200022017520600000000000000000000010100000000000000000000000000000010000000000000000200022017520600000000000000000000000000000000000000000002000220175206120002201751-10010200022017520612000220175198320002201752061200022017519832000220175399Not attempted due toFRBC2552552550000000000000000000000001Arial800010179745740000000002000220175399000000000000000000000000000000000000000000000200022017539900010000000000000000000000000000000000000000000000000010000000000000000200022017539900000000000000000000000000000000000000000002000220175400environmental limitationsFRBD2552552550000000000000000000000001Arial800010179745740000000002000220175400000000000000000000000000000000000000000000000200022017540000010000000000000000000000000000000000000000000000000010000000000000000200022017540000000000000000000000000000000000000000000002000220175401(e.g., lack of equipment,FRBE2552552550000000000000000000000001Arial800010179745740000000002000220175401000000000000000000000000000000000000000000000200022017540100010000000000000000000000000000000000000000000000000010000000000000000200022017540100000000000000000000000000000000000000000002000220175402weather constraints)FRBF2552552550000000000000000000000001Arial800010179745740000000002000220175402000000000000000000000000000000000000000000000200022017540200010000000000000000000000000000000000000000000000000010000000000000000200022017540200000000000000000000000000000000000000000002000220175AM Self Care (GG)320672000000000000000000000000000000000000000000010000010000000000000000000000000000000000000010000000200022017510000000000000000000000000000000200000000000001101110000000000000000000000000000000200022017540000000000000000000000000000000200000000000001101110000000000000000000000000000000439332000220175200022017500120002201751310102500090200022017512000220175612000220175132000220175712000220175132000220175812000220175132000220175101200022017563200022017511120002201756320002201751212000220175632000220175131200022017563200022017514120002201756320002201751512000220175632000220175161200022017563200022017517120002201756320002201751812000220175632000220175201200022017573200022017521120002201757320002201752212000220175732000220175231200022017573200022017524120002201757320002201752512000220175732000220175261200022017573200022017527120002201757320002201752812000220175732000220175301200022017583200022017531120002201758320002201753212000220175832000220175331200022017583200022017534120002201758320002201753512000220175832000220175361200022017583200022017537120002201758320002201753812000220175832000220175162120002201756320002201751631200022017513200022017516412000220175163320002201751651200022017516332000220175166120002201751633200022017516712000220175163320002201751681200022017516332000220175169120002201751633200022017517012000220175163320002201751711200022017516332000220175172120002201751633200022017517312000220175163320002201751741200022017573200022017517512000220175132000220175176120002201751753200022017517712000220175175320002201751781200022017517532000220175179120002201751753200022017518012000220175175320002201751811200022017517532000220175182120002201751753200022017518312000220175175320002201751841200022017517532000220175185120002201751753200022017518612000220175832000220175187120002201751320002201751881200022017518732000220175189120002201751873200022017519012000220175187320002201751911200022017518732000220175192120002201751873200022017519312000220175187320002201751941200022017518732000220175195120002201751873200022017519612000220175187320002201751971200022017518732000220175198120002201751320002201751991200022017519832000220175200120002201751983200022017520112000220175198320002201752021200022017519832000220175203120002201751983200022017520412000220175198320002201752051200022017519832000220175206120002201751983200022017520712000220175198320002201752081200022017519832000220175

20002CNA15318610301Arial1010

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