| Activity | Yes | No |
| 1) Can you walk down a flight of steps without stopping? (4.5-5.2 METS) | Class I-III Go to #2 | Class III-IV Go to #4 |
2) Can you carry anything up a flight of 8 steps without stopping (5-5.5 METS)
or can you:- have sexual intercourse without stopping (5-5.5 METS)
- garden, rake, weed (5.6 METS)
- roller skate, dance fox-trot or walk at 4 mph pace on level ground (5-6 METS)
| Class I-II Go to #3 | Class III |
3) Can you carry at least 24 pounds up 8 steps (10 METS) or can you:- carry objects that are at least 80 pounds (8 METS)
- do outdoor work-shovel snow, spade soil (7 METS)
- do recreational activities such as skiing, basketball, touch football,
squash or handball (7-10 METS) - jog/walk at 5 mph pace (9 METS)
| Class I | Class II |
4) Can you shower without stopping (3.6-4.2 METS) or can you:- strip and make bed (3.9-5 METS)
- mop floors (4.2 METS)
- hang washed clothes (4.4 METS)
- clean windows (3.7 METS)
- walk at 2.5 mph pace (3-3.5 METS)
- bowl (3-4.4 METS)
- play golf (walk, carry clubs) (4.5 METS)
- push power lawn mower (4 METS)
| Class III | Class III-IV Go to #5 |
| 5) Can you dress without stopping because of anginal symptoms? | Class III | Class IV |
