1.
What is you
date of birth?
2.
How old are
you?
3.
How far did
you go in school?
4.
When was the
last date that you attended school?
5.
Are you in school
now?
6.
Did you ever
attend a trade school or have some other type of vocational training?
7.
When did you
last work?
8.
What was
your last job title?
9.
What were
your tasks and duties at this job?
10. How much weight did you lift at this job?
11. Was it
a sitting or standing job?
12. What other work have you performed in the
last 15 years?
13. What is preventing you from being able to
work?
14. What are your symptoms?
15. What is your level of pain on a pain scale?
Zero being no pain and ten being pain severe enough to force you go to the
emergency room.
16. What types of treatment have you tried?
17. Have you had any surgeries?
18. Have you had any hospitalizations?
19. Are you able to concentrate while watching a television
program?
20. Are you able to read and understand a page in
a book?
21. How long can you sit?
22. How long can you stand at one time?
23. How long can you walk at one time in terms of
minutes or city blocks?
24. How much weight can you lift at one time in
terms of pounds?
25. Do you require an assistive device to help
you walk or stand? Which device?
26. Where do you live?
27. Who do you live with?
28. Who does the chores in your household?
29. Who does the cleaning?
30. Who does the cooking?
31. Who does the grocery shopping?
32. Do you have any children? Who cares for them?
33. Have you traveled at all since you applied
for disability? Where?
34. Why can’t you perform a sit-down job?
35. Why can’t you perform a job that allows you
to sit and stand at will?
36. Have you ever abused alcohol or drugs?
37. How have you been supporting yourself since
you stopped working?
Got a question about SSDI or SSI that you need us to answer? Please check out our website at www.westcoastdisability.com . We try to provide you with helpful information on our website that will allow you to successfully navigate the Social Security Disability process. Also, feel free to email me your questions at megan@westcoastdisability.com or call me at (800) 459-3017 x 103.