Functional Ability Score
[select name="Q1a" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 1) Bed Mobility    
[select name="Q1b" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 2) Transferring    
[select name="Q1c" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 3) Eating      
[select name="Q1d" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 4) Toileting    
[select name="Q1e" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 5) Hygiene    
[select name="Q1f" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 6) Locomotion on unit   
[select name="Q1g" value="0 (no impairment)=0|1 (mild impairment)=1|2 (moderate impairment)=2|3 (high impairment)=3"] <-- 7) Dressing
Functional Ability Score --> [calc memo="number" value="score2=(Q1a)+(Q1b)+(Q1c)+(Q1d)+(Q1e)+(Q1f)+(Q1g)"] / 28