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Objective: To develop a self-report instrument that would provide information about the different levels of the disablement process, and that (1) was suitable for persons with spinal cord disease (SCD), (2) could be completed quickly, (3) could be mailed, (4) had acceptable reliability, and (5) would be clinically useful.

Study Design: Test-retest using a convenience sample.

Methods: Review of the literature and an expert panel were used to develop the instrument.

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