Version June 2024
| 0 | Normal: I may have some mild symptoms, mostly sensory, due to MS, but they do not limit my activity. If I do have an attack, I return to normal when the attack has passed. |
| 1 | Mild disability: I have some noticeable symptoms from my MS, but they are minor and have only a small effect on my lifestyle. |
| 2 | Moderate disability: I don't have any limitations in my walking ability. However, I do have significant problems due to MS that limit daily activities in other ways. |
| 3 | Gait disability: MS does interfere with my activities, especially my walking. I can work a full day, but athletic or physically demanding activities are more difficult than they used to be. I usually don't need a cane or other assistance to walk, but I might need some assistance during an attack. |
| 4 | Early cane: I use a cane or a single crutch or some other form of support (such as touching a wall or leaning on someone's arm) for walking all the time or part of the time, especially when walking outside. I think I can walk 25 feet in 20 seconds without a cane or crutch. I always need some assistance (cane or crutch) if I want to walk as far as three blocks. |
| 5 | Late cane: To be able to walk 25 feet, I have to have a cane, crutch, or someone to hold onto. I can get around the house or other buildings by holding onto furniture or touching the walls for support. I may use a scooter or wheelchair if I want to go greater distances. |
| 6 | Bilateral support: To be able to walk as far as 25 feet I must have two canes or crutches or a walker. I may use a scooter or wheelchair for longer distances. |
| 7 | Wheelchair/scooter: My main form of mobility is a wheelchair. I may be able to stand and/or take one or two steps, but I can't walk 25 feet, even with crutches or a walker. |
| 8 | Bedridden: Unable to sit in a wheelchair for more than one hour. |
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