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| [1] | SUPREME COURT OF THE UNITED STATES | 
| [2] | No. 00-1089 | 
| [3] | 2002.SCT.0000004 <http://www.versuslaw.com> | 
| [4] | January 8, 2002 | 
| [5] | TOYOTA MOTOR MANUFACTURING, KENTUCKY, INC., PETITIONER v. ELLA WILLIAMS | 
| [6] | SYLLABUS BY THE COURT | 
| [7] | Claiming to be disabled from performing her automobile assembly line 
        job by carpal tunnel syndrome and related impairments, respondent sued 
        petitioner, her former employer, for failing to provide her with a reasonable 
        accommodation as required by the Americans with Disabilities Act of 1990 
        (ADA), 42 U. S. C. §12112(b)(5)(A). The District Court granted petitioner 
        summary judgment, holding that respondent's impairment did not qualify 
        as a "disability" under the ADA because it had not "substantially 
        limit[ed]" any "major life activit[y]," §12102(2)(A), and 
        that there was no evidence that respondent had had a record of a substantially 
        limiting impairment or that petitioner had regarded her as having such 
        an impairment. The Sixth Circuit reversed, finding that the impairments 
        substantially limited respondent in the major life activity of performing 
        manual tasks. In order to demonstrate that she was so limited, said the 
        court, respondent had to show that her manual disability involved a "class" 
        of manual activities affecting the ability to perform tasks at work. Respondent 
        satisfied this test, according to the court, because her ailments prevented 
        her from doing the tasks associated with certain types of manual jobs 
        that require the gripping of tools and repetitive work with hands and 
        arms extended at or above shoulder levels for extended periods of time. 
        In reaching this conclusion, the court found that evidence that respondent 
        could tend to her personal hygiene and carry out personal or household 
        chores did not affect a determination that her impairments substantially 
        limited her ability to perform the range of manual tasks associated with 
        an assembly line job. The court granted respondent partial summary judgment 
        on the issue whether she was disabled under the ADA. | 
| [8] | Held: The Sixth Circuit did not apply the proper standard in determining 
        that respondent was disabled under the ADA because it analyzed only a 
        limited class of manual tasks and failed to ask whether respondent's impairments 
        prevented or restricted her from performing tasks that are of central 
        importance to most people's daily lives. Pp. 7-18. | 
| [9] | (a) The Court's consideration of what an individual must prove to demonstrate 
        a substantial limitation in the major life activity of performing manual 
        tasks is guided by the ADA's disability definition. "Substantially" 
        in the phrase "substantially limits" suggests "considerable" 
        or "to a large degree," and thus clearly precludes impairments 
        that interfere in only a minor way with performing manual tasks. Cf. Albertson's, 
        Inc. v. Kirkingburg, 527 U. S. 555, 565. Moreover, because "major" 
        means important, "major life activities" refers to those activities 
        that are of central importance to daily life. In order for performing 
        manual tasks to fit into this category, the tasks in question must be 
        central to daily life. To be substantially limited in the specific major 
        life activity of performing manual tasks, therefore, an individual must 
        have an impairment that prevents or severely restricts the individual 
        from doing activities that are of central importance to most people's 
        daily lives. The impairment's impact must also be permanent or long-term. 
        See 29 CFR §§1630.2(j)(2)(ii-iii). | 
| [10] | It is insufficient for individuals attempting to prove disability status 
        under this test to merely submit evidence of a medical diagnosis of an 
        impairment. Instead, the ADA requires them to offer evidence that the 
        extent of the limitation caused by their impairment in terms of their 
        own experience is substantial. Id., at 567. That the Act defines "disability" 
        "with respect to an individual," §12102(2), makes clear that 
        Congress intended the existence of a disability to be determined in such 
        a case-by-case manner. See, e.g., Sutton v. United Air Lines, Inc., 527 
        U. S. 471, 483. An individualized assessment of the effect of an impairment 
        is particularly necessary when the impairment is one such as carpal tunnel 
        syndrome, in which symptoms vary widely from person to person. Pp. 11-14. | 
| [11] | (b) The Sixth Circuit erred in suggesting that, in order to prove a 
        substantial limitation in the major life activity of performing manual 
        tasks, a plaintiff must show that her manual disability involves a "class" 
        of manual activities, and that those activities affect the ability to 
        perform tasks at work. Nothing in the ADA's text, this Court's opinions, 
        or the regulations suggests that a class-based framework should apply 
        outside the context of the major life activity of working. While the Sixth 
        Circuit addressed the different major life activity of performing manual 
        tasks, its analysis erroneously circumvented Sutton, supra, at 491, by 
        focusing on respondent's inability to perform manual tasks associated 
        only with her job. Rather, the central inquiry must be whether the claimant 
        is unable to perform the variety of tasks central to most people's daily 
        lives. Also without support is the Sixth Circuit's assertion that the 
        question whether an impairment constitutes a disability is to be answered 
        only by analyzing the impairment's effect in the workplace. That the Act's 
        "disability" definition applies not only to the portion of the 
        ADA dealing with employment, but also to the other provisions dealing 
        with public transportation and public accommodations, demonstrates that 
        the definition is intended to cover individuals with disabling impairments 
        regardless of whether they have any connection to a workplace. Moreover, 
        because the manual tasks unique to any particular job are not necessarily 
        important parts of most people's lives, occupation-specific tasks may 
        have only limited relevance to the manual task inquiry. In this case, 
        repetitive work with hands and arms extended at or above shoulder levels 
        for extended periods, the manual task on which the Sixth Circuit relied, 
        is not an important part of most people's daily lives. Household chores, 
        bathing, and brushing one's teeth, in contrast, are among the types of 
        manual tasks of central importance to people's daily lives, so the Sixth 
        Circuit should not have disregarded respondent's ability to do these activities. 
        Pp. 14-17. | 
| [12] | 224 F. 3d 840, reversed and remanded. | 
| [13] | O'Connor, J., delivered the opinion for a unanimous Court. | 
| [14] | Court Below: 224 F. 3d 840 | 
| [15] | The opinion of the court was delivered by: Justice O'Connor. | 
| [16] | 534 U. S. ____ (2002) | 
| [17] | On Writ Of Certiorari To The United States Court Of Appeals For The 
        Sixth Circuit | 
| [18] | Under the Americans with Disabilities Act of 1990 (ADA or Act), 104 
        Stat. 328, 42 U. S. C. §12101 et seq. (1994 ed. and Supp. V), a physical 
        impairment that "substantially limits one or more ... major life 
        activities" is a "disability." 42 U. S. C. §12102(2)(A) 
        (1994 ed.). Respondent, claiming to be disabled because of her carpal 
        tunnel syndrome and other related impairments, sued petitioner, her former 
        employer, for failing to provide her with a reasonable accommodation as 
        required by the ADA. See §12112(b) (5)(A). The District Court granted 
        summary judgment to petitioner, finding that respondent's impairments 
        did not substantially limit any of her major life activities. The Court 
        of Appeals for the Sixth Circuit reversed, finding that the impairments 
        substantially limited respondent in the major life activity of performing 
        manual tasks, and therefore granting partial summary judgment to respondent 
        on the issue of whether she was disabled under the ADA. We conclude that 
        the Court of Appeals did not apply the proper standard in making this 
        determination because it analyzed only a limited class of manual tasks 
        and failed to ask whether respondent's impairments prevented or restricted 
        her from performing tasks that are of central importance to most people's 
        daily lives. | 
| [19] | I. | 
| [20] | Respondent began working at petitioner's automobile manufacturing plant 
        in Georgetown, Kentucky, in August 1990. She was soon placed on an engine 
        fabrication assembly line, where her duties included work with pneumatic 
        tools. Use of these tools eventually caused pain in respondent's hands, 
        wrists, and arms. She sought treatment at petitioner's in-house medical 
        service, where she was diagnosed with bilateral carpal tunnel syndrome 
        and bilateral tendinitis. Respondent consulted a personal physician who 
        placed her on permanent work restrictions that precluded her from lifting 
        more than 20 pounds or from "frequently lifting or carrying of objects 
        weighing up to 10 pounds," engaging in "constant repetitive 
        ... flexion or extension of [her] wrists or elbows," performing "overhead 
        work," or using "vibratory or pneumatic tools." Brief for 
        Respondent 2; App. 45-46. | 
| [21] | In light of these restrictions, for the next two years petitioner assigned 
        respondent to various modified duty jobs. Nonetheless, respondent missed 
        some work for medical leave, and eventually filed a claim under the Kentucky 
        Workers' Compensation Act. Ky. Rev. Stat. Ann. §342.0011 et seq. (1997 
        and Supp. 2000). The parties settled this claim, and respondent returned 
        to work. She was unsatisfied by petitioner's efforts to accommodate her 
        work restrictions, however, and responded by bringing an action in the 
        United States District Court for the Eastern District of Kentucky alleging 
        that petitioner had violated the ADA by refusing to accommodate her disability. 
        That suit was also settled, and as part of the settlement, respondent 
        returned to work in December 1993. | 
| [22] | Upon her return, petitioner placed respondent on a team in Quality Control 
        Inspection Operations (QCIO). QCIO is responsible for four tasks: (1) 
        "assembly paint"; (2) "paint second inspection"; (3) 
        "shell body audit"; and (4) "ED surface repair." App. 
        19. Respondent was initially placed on a team that performed only the 
        first two of these tasks, and for a couple of years, she rotated on a 
        weekly basis between them. In assembly paint, respondent visually inspected 
        painted cars moving slowly down a conveyor. She scanned for scratches, 
        dents, chips, or any other flaws that may have occurred during the assembly 
        or painting process, at a rate of one car every 54 seconds. When respondent 
        began working in assembly paint, inspection team members were required 
        to open and shut the doors, trunk, and/or hood of each passing car. Sometime 
        during respondent's tenure, however, the position was modified to include 
        only visual inspection with few or no manual tasks. Paint second inspection 
        required team members to use their hands to wipe each painted car with 
        a glove as it moved along a conveyor. Id., at 21-22. The parties agree 
        that respondent was physically capable of performing both of these jobs 
        and that her performance was satisfactory. | 
| [23] | During the fall of 1996, petitioner announced that it wanted QCIO employees 
        to be able to rotate through all four of the QCIO processes. Respondent 
        therefore received training for the shell body audit job, in which team 
        members apply a highlight oil to the hood, fender, doors, rear quarter 
        panel, and trunk of passing cars at a rate of approximately one car per 
        minute. The highlight oil has the viscosity of salad oil, and employees 
        spread it on cars with a sponge attached to a block of wood. After they 
        wipe each car with the oil, the employees visually inspect it for flaws. 
        Wiping the cars required respondent to hold her hands and arms up around 
        shoulder height for several hours at a time. | 
| [24] | A short while after the shell body audit job was added to respondent's 
        rotations, she began to experience pain in her neck and shoulders. Respondent 
        again sought care at petitioner's in-house medical service, where she 
        was diagnosed with myotendinitis bilateral periscapular, an inflammation 
        of the muscles and tendons around both of her shoulder blades; myotendinitis 
        and myositis bilateral forearms with nerve compression causing median 
        nerve irritation; and thoracic outlet compression, a condition that causes 
        pain in the nerves that lead to the upper extremities. Respondent requested 
        that petitioner accommodate her medical conditions by allowing her to 
        return to doing only her original two jobs in QCIO, which respondent claimed 
        she could still perform without difficulty. | 
| [25] | The parties disagree about what happened next. According to respondent, 
        petitioner refused her request and forced her to continue working in the 
        shell body audit job, which caused her even greater physical injury. According 
        to petitioner, respondent simply began missing work on a regular basis. 
        Regardless, it is clear that on December 6, 1996, the last day respondent 
        worked at petitioner's plant, she was placed under a no-work-of-any-kind 
        restriction by her treating physicians. On January 27, 1997, respondent 
        received a letter from petitioner that terminated her employment, citing 
        her poor attendance record. | 
| [26] | Respondent filed a charge of disability discrimination with the Equal 
        Employment Opportunity Commission (EEOC). After receiving a right to sue 
        letter, respondent filed suit against petitioner in the United States 
        District Court for the Eastern District of Kentucky. Her complaint alleged 
        that petitioner had violated the ADA and the Kentucky Civil Rights Act, 
        Ky. Rev. Stat. Ann. §344.010 et seq. (1997 and Supp. 2000), by failing 
        to reasonably accommodate her disability and by terminating her employment. 
        Respondent later amended her complaint to also allege a violation of of 
        the Family and Medical Leave Act of 1993 (FMLA), 107 Stat. 6, as amended, 
        29 U. S. C. §2601 et seq. (1994 ed. and Supp. V). | 
| [27] | Respondent based her claim that she was "disabled" under the 
        ADA on the ground that her physical impairments substantially limited 
        her in (1) manual tasks; (2) housework; (3) gardening; (4) playing with 
        her children; (5) lifting; and (6) working, all of which, she argued, 
        constituted major life activities under the Act. Respondent also argued, 
        in the alternative, that she was disabled under the ADA because she had 
        a record of a substantially limiting impairment and because she was regarded 
        as having such an impairment. See 42 U. S. C. §§12102(2)(B-C) (1994 ed.). | 
| [28] | After petitioner filed a motion for summary judgment and respondent 
        filed a motion for partial summary judgment on her disability claims, 
        the District Court granted summary judgment to petitioner. Civ. A. No. 
        97-135 (Jan. 26, 1999), App. to Pet. for Cert. A-23. The court found that 
        respondent had not been disabled, as defined by the ADA, at the time of 
        petitioner's alleged refusal to accommodate her, and that she had therefore 
        not been covered by the Act's protections or by the Kentucky Civil Rights 
        Act, which is construed consistently with the ADA. Id., at A-29, A-34 
        to A-47. The District Court held that respondent had suffered from a physical 
        impairment, but that the impairment did not qualify as a disability because 
        it had not "substantially limit[ed]" any "major life activit[y]," 
        42 U. S. C. §12102(2)(A). App. to Pet. for Cert. A-34 to A-42. The court 
        rejected respondent's arguments that gardening, doing housework, and playing 
        with children are major life activities. Id., at A-35 to A-36. Although 
        the court agreed that performing manual tasks, lifting, and working are 
        major life activities, it found the evidence insufficient to demonstrate 
        that respondent had been substantially limited in lifting or working. 
        Id., at A-36 to A-42. The court found respondent's claim that she was 
        substantially limited in performing manual tasks to be "irretrievably 
        contradicted by [respondent's] continual insistence that she could perform 
        the tasks in assembly [paint] and paint [second] inspection without difficulty." 
        Id., at A-36. The court also found no evidence that respondent had had 
        a record of a substantially limiting impairment, id., at A-43, or that 
        petitioner had regarded her as having such an impairment, id., at A-46 
        to A-47. | 
| [29] | The District Court also rejected respondent's claim that her termination 
        violated the ADA and the Kentucky Civil Rights Act. The court found that 
        even if it assumed that respondent was disabled at the time of her termination, 
        she was not a "qualified individual with a disability," 42 U. 
        S. C. §12111(8) (1994 ed.), because, at that time, her physicians had 
        restricted her from performing work of any kind, App. to Pet. for Cert. 
        A-47 to A-50. Finally, the court found that respondent's FMLA claim failed, 
        because she had not presented evidence that she had suffered any damages 
        available under the FMLA. Id., at A-50 to A-54. | 
| [30] | Respondent appealed all but the gardening, housework, and playing-with-children 
        rulings. The Court of Appeals for the Sixth Circuit reversed the District 
        Court's ruling on whether respondent was disabled at the time she sought 
        an accommodation, but affirmed the District Court's rulings on respondent's 
        FMLA and wrongful termination claims. 224 F. 3d 840 (2000). The Court 
        of Appeals held that in order for respondent to demonstrate that she was 
        disabled due to a substantial limitation in the ability to perform manual 
        tasks at the time of her accommodation request, she had to "show 
        that her manual disability involve[d] a `class' of manual activities affecting 
        the ability to perform tasks at work." Id., at 843. Respondent satisfied 
        this test, according to the Court of Appeals, because her ailments "prevent[ed] 
        her from doing the tasks associated with certain types of manual assembly 
        line jobs, manual product handling jobs and manual building trade jobs 
        (painting, plumbing, roofing, etc.) that require the gripping of tools 
        and repetitive work with hands and arms extended at or above shoulder 
        levels for extended periods of time." Ibid. In reaching this conclusion, 
        the court disregarded evidence that respondent could "ten[d] to her 
        personal hygiene [and] carr[y] out personal or household chores," 
        finding that such evidence "does not affect a determination that 
        her impairment substantially limit[ed] her ability to perform the range 
        of manual tasks associated with an assembly line job," ibid. Because 
        the Court of Appeals concluded that respondent had been substantially 
        limited in performing manual tasks and, for that reason, was entitled 
        to partial summary judgment on the issue of whether she was disabled under 
        the Act, it found that it did not need to determine whether respondent 
        had been substantially limited in the major life activities of lifting 
        or working, ibid., or whether she had had a "record of" a disability 
        or had been "regarded as" disabled, id., at 844. | 
| [31] | We granted certiorari, 532 U. S. 970 (2001), to consider the proper 
        standard for assessing whether an individual is substantially limited 
        in performing manual tasks. We now reverse the Court of Appeals' decision 
        to grant partial summary judgment to respondent on the issue whether she 
        was substantially limited in performing manual tasks at the time she sought 
        an accommodation. We express no opinion on the working, lifting, or other 
        arguments for disability status that were preserved below but which were 
        not ruled upon by the Court of Appeals. | 
| [32] | II. | 
| [33] | The ADA requires covered entities, including private employers, to provide 
        "reasonable accommodations to the known physical or mental limitations 
        of an otherwise qualified individual with a disability who is an applicant 
        or employee, unless such covered entity can demonstrate that the accommodation 
        would impose an undue hardship." 42 U. S. C. §12112(b)(5)(A) (1994 
        ed.); see also §12111(2) ("The term `covered entity' means an employer, 
        employment agency, labor organization, or joint labor-management committee"). 
        The Act defines a "qualified individual with a disability" as 
        "an individual with a disability who, with or without reasonable 
        accommodation, can perform the essential functions of the employment position 
        that such individual holds or desires." §12111(8). In turn, a "disability" 
        is: | 
| [34] | "(A) a physical or mental impairment that substantially limits 
        one or more of the major life activities of such individual; | 
| [35] | "(B) a record of such an impairment; or | 
| [36] | "(C) being regarded as having such an impairment." §12102(2). | 
| [37] | There are two potential sources of guidance for interpreting the terms 
        of this definition -- the regulations interpreting the Rehabilitation 
        Act of 1973, 87 Stat. 361, as amended, 29 U. S. C. §706(8)(B) (1988 ed.), 
        and the EEOC regulations interpreting the ADA. Congress drew the ADA's 
        definition of disability almost verbatim from the definition of "handicapped 
        individual" in the Rehabilitation Act, §706(8)(B), and Congress' 
        repetition of a well-established term generally implies that Congress 
        intended the term to be construed in accordance with pre-existing regulatory 
        interpretations. Bragdon v. Abbott, 524 U. S. 624, 631 (1998); FDIC v. 
        Philadelphia Gear Corp., 476 U. S. 426, 437-438 (1986); ICC v. Parker, 
        326 U. S. 60, 65 (1945). As we explained in Bragdon v. Abbott, supra, 
        at 631, Congress did more in the ADA than suggest this construction; it 
        adopted a specific statutory provision directing as follows: | 
| [38] | "Except as otherwise provided in this chapter, nothing in this 
        chapter shall be construed to apply a lesser standard than the standards 
        applied under title V of the Rehabilitation Act of 1973 (29 U. S. C. 790 
        et seq.) or the regulations issued by Federal agencies pursuant to such 
        title." 42 U. S. C. §12201(a) (1994 ed.) | 
| [39] | The persuasive authority of the EEOC regulations is less clear. As we 
        have previously noted, see Sutton v. United Air Lines, Inc., 527 U. S. 
        471, 479 (1999), no agency has been given authority to issue regulations 
        interpreting the term "disability" in the ADA. Nonetheless, 
        the EEOC has done so. See 29 CFR §§1630.2(g)-(j) (2001). Because both 
        parties accept the EEOC regulations as reasonable, we assume without deciding 
        that they are, and we have no occasion to decide what level of deference, 
        if any, they are due. See Sutton v. United Air Lines, Inc., supra, at 
        480; Albertson's, Inc. v. Kirkingburg, 527 U. S. 555, 563, n. 10 (1999). | 
| [40] | To qualify as disabled under subsection (A) of the ADA's definition 
        of disability, a claimant must initially prove that he or she has a physical 
        or mental impairment. See 42 U. S. C. §12102(2)(A). The Rehabilitation 
        Act regulations issued by the Department of Health, Education, and Welfare 
        (HEW) in 1977, which appear without change in the current regulations 
        issued by the Department of Health and Human Services, define "physical 
        impairment," the type of impairment relevant to this case, to mean 
        "any physiological disorder or condition, cosmetic disfigurement, 
        or anatomical loss affecting one or more of the following body systems: 
        neurological; musculoskeletal; special sense organs; respiratory, including 
        speech organs; cardiovascular; reproductive, digestive, genito-urinary; 
        hemic and lymphatic; skin; and endocrine." 45 CFR §84.3(j)(2)(i) 
        (2001). The HEW regulations are of particular significance because at 
        the time they were issued, HEW was the agency responsible for coordinating 
        the implementation and enforcement of §504 of the Rehabilitation Act, 
        29 U. S. C. §794 (1994 ed. and Supp. V), which prohibits discrimination 
        against individuals with disabilities by recipients of federal financial 
        assistance. Bragdon v. Abbott, supra, at 632 (citing Consolidated Rail 
        Corporation v. Darrone, 465 U. S. 624, 634 (1984)). | 
| [41] | Merely having an impairment does not make one disabled for purposes 
        of the ADA. Claimants also need to demonstrate that the impairment limits 
        a major life activity. See 42 U. S. C. §12102(2)(A) (1994 ed.). The HEW 
        Rehabilitation Act regulations provide a list of examples of "major 
        life activities," that includes "walking, seeing, hearing," 
        and, as relevant here, "performing manual tasks." 45 CFR §84.3(j)(2)(ii) 
        (2001). | 
| [42] | To qualify as disabled, a claimant must further show that the limitation 
        on the major life activity is "substantia[l]." 42 U. S. C. §12102(2)(A). 
        Unlike "physical impairment" and "major life activities," 
        the HEW regulations do not define the term "substantially limits." 
        See Nondiscrimination on the Basis of Handicap in Programs and Activities 
        Receiving or Benefiting from Federal Financial Assistance, 42 Fed. Reg. 
        22676, 22685 (1977) (stating the Department of Health, Education, and 
        Welfare's position that a definition of "substantially limits" 
        was not possible at that time). The EEOC, therefore, has created its own 
        definition for purposes of the ADA. According to the EEOC regulations, 
        "substantially limit[ed]" means "[u]nable to perform a 
        major life activity that the average person in the general population 
        can perform"; or "[s]ignificantly restricted as to the condition, 
        manner or duration under which an individual can perform a particular 
        major life activity as compared to the condition, manner, or duration 
        under which the average person in the general population can perform that 
        same major life activity." 29 CFR §1630.2(j) (2001). In determining 
        whether an individual is substantially limited in a major life activity, 
        the regulations instruct that the following factors should be considered: 
        "[t]he nature and severity of the impairment; [t]he duration or expected 
        duration of the impairment; and [t]he permanent or long-term impact, or 
        the expected permanent or long-term impact of or resulting from the impairment." 
        §§1630.2(j)(2)(i)-(iii). | 
| [43] | III. | 
| [44] | The question presented by this case is whether the Sixth Circuit properly 
        determined that respondent was disabled under subsection (A) of the ADA's 
        disability definition at the time that she sought an accommodation from 
        petitioner. 42 U. S. C. §12102(2)(A). The parties do not dispute that 
        respondent's medical conditions, which include carpal tunnel syndrome, 
        myotendinitis, and thoracic outlet compression, amount to physical impairments. 
        The relevant question, therefore, is whether the Sixth Circuit correctly 
        analyzed whether these impairments substantially limited respondent in 
        the major life activity of performing manual tasks. Answering this requires 
        us to address an issue about which the EEOC regulations are silent: what 
        a plaintiff must demonstrate to establish a substantial limitation in 
        the specific major life activity of performing manual tasks. | 
| [45] | Our consideration of this issue is guided first and foremost by the 
        words of the disability definition itself. "[S]ubstantially" 
        in the phrase "substantially limits" suggests "considerable" 
        or "to a large degree." See Webster's Third New International 
        Dictionary 2280 (1976) (defining "substantially" as "in 
        a substantial manner" and "substantial" as "considerable 
        in amount, value, or worth" and "being that specified to a large 
        degree or in the main"); see also 17 Oxford English Dictionary 66-67 
        (2d ed. 1989) ("substantial": "[r]elating to or proceeding 
        from the essence of a thing; essential"; "[o]f ample or considerable 
        amount, quantity, or dimensions"). The word "substantial" 
        thus clearly precludes impairments that interfere in only a minor way 
        with the performance of manual tasks from qualifying as disabilities. 
        Cf. Albertson's, Inc. v. Kirkingburg, 527 U. S., at 565 (explaining that 
        a "mere difference" does not amount to a "significant restric[tion]" 
        and therefore does not satisfy the EEOC's interpretation of "substantially 
        limits"). | 
| [46] | "Major" in the phrase "major life activities" means 
        important. See Webster's, supra, at 1363 (defining "major" as 
        "greater in dignity, rank, importance, or interest"). "Major 
        life activities" thus refers to those activities that are of central 
        importance to daily life. In order for performing manual tasks to fit 
        into this category -- a category that includes such basic abilities as 
        walking, seeing, and hearing -- the manual tasks in question must be central 
        to daily life. If each of the tasks included in the major life activity 
        of performing manual tasks does not independently qualify as a major life 
        activity, then together they must do so. | 
| [47] | That these terms need to be interpreted strictly to create a demanding 
        standard for qualifying as disabled is confirmed by the first section 
        of the ADA, which lays out the legislative findings and purposes that 
        motivate the Act. See 42 U. S. C. §12101. When it enacted the ADA in 1990, 
        Congress found that "some 43,000,000 Americans have one or more physical 
        or mental disabilities." §12101(a)(1). If Congress intended everyone 
        with a physical impairment that precluded the performance of some isolated, 
        unimportant, or particularly difficult manual task to qualify as disabled, 
        the number of disabled Americans would surely have been much higher. Cf. 
        Sutton v. United Air Lines, Inc., 527 U. S., at 487 (finding that because 
        more than 100 million people need corrective lenses to see properly, "[h]ad 
        Congress intended to include all persons with corrected physical limitations 
        among those covered by the Act, it undoubtedly would have cited a much 
        higher number [than 43 million disabled persons in the findings"). | 
| [48] | We therefore hold that to be substantially limited in performing manual 
        tasks, an individual must have an impairment that prevents or severely 
        restricts the individual from doing activities that are of central importance 
        to most people's daily lives. The impairment's impact must also be permanent 
        or long-term. See 29 CFR §§1630.2(j)(2)(ii)-(iii) (2001). | 
| [49] | It is insufficient for individuals attempting to prove disability status 
        under this test to merely submit evidence of a medical diagnosis of an 
        impairment. Instead, the ADA requires those "claiming the Act's protection 
        ... to prove a disability by offering evidence that the extent of the 
        limitation [caused by their impairment] in terms of their own experience 
        ... is substantial." Albertson's, Inc. v. Kirkingburg, supra, at 
        567 (holding that monocular vision is not invariably a disability, but 
        must be analyzed on an individual basis, taking into account the individual's 
        ability to compensate for the impairment). That the Act defines "disability" 
        "with respect to an individual," 42 U. S. C. §12102(2), makes 
        clear that Congress intended the existence of a disability to be determined 
        in such a case-by-case manner. See Sutton v. United Air Lines, Inc., supra, 
        at 483; Albertson's, Inc. v. Kirkingburg, supra, at 566; cf. Bragdon v. 
        Abbott, 524 U. S., at 641-642 (relying on unchallenged testimony that 
        the respondent's HIV infection controlled her decision not to have a child, 
        and declining to consider whether HIV infection is a per se disability 
        under the ADA); 29 CFR pt. 1630, App. §1630.2(j) (2001) ("The determination 
        of whether an individual has a disability is not necessarily based on 
        the name or diagnosis of the impairment the person has, but rather on 
        the effect of that impairment on the life of the individual"); ibid. 
        ("The determination of whether an individual is substantially limited 
        in a major life activity must be made on a case-by-case basis"). | 
| [50] | An individualized assessment of the effect of an impairment is particularly 
        necessary when the impairment is one whose symptoms vary widely from person 
        to person. Carpal tunnel syndrome, one of respondent's impairments, is 
        just such a condition. While cases of severe carpal tunnel syndrome are 
        characterized by muscle atrophy and extreme sensory deficits, mild cases 
        generally do not have either of these effects and create only intermittent 
        symptoms of numbness and tingling. Carniero, Carpal Tunnel Syndrome: The 
        Cause Dictates the Treatment 66 Cleveland Clinic J. Medicine 159, 161-162 
        (1999). Studies have further shown that, even without surgical treatment, 
        one quarter of carpal tunnel cases resolve in one month, but that in 22 
        percent of cases, symptoms last for eight years or longer. See DeStefano, 
        Nordstrom, & Uierkant, Long-term Symptom Outcomes of Carpal Tunnel 
        Syndrome and its Treatment, 22A J. Hand Surgery 200, 204-205 (1997). When 
        pregnancy is the cause of carpal tunnel syndrome, in contrast, the symptoms 
        normally resolve within two weeks of delivery. See Ouellette, Nerve Compression 
        Syndromes of the Upper Extremity in Women, 17 Journal of Musculoskeletal 
        Medicine 536 (2000). Given these large potential differences in the severity 
        and duration of the effects of carpal tunnel syndrome, an individual's 
        carpal tunnel syndrome diagnosis, on its own, does not indicate whether 
        the individual has a disability within the meaning of the ADA. | 
| [51] | IV. | 
| [52] | The Court of Appeals' analysis of respondent's claimed disability suggested 
        that in order to prove a substantial limitation in the major life activity 
        of performing manual tasks, a "plaintiff must show that her manual 
        disability involves a `class' of manual activities," and that those 
        activities "affec[t] the ability to perform tasks at work." 
        See 224 F. 3d, at 843. Both of these ideas lack support. | 
| [53] | The Court of Appeals relied on our opinion in Sutton v. United Air Lines, 
        Inc., for the idea that a "class" of manual activities must 
        be implicated for an impairment to substantially limit the major life 
        activity of performing manual tasks. 224 F. 3d, at 843. But Sutton said 
        only that "[w]hen the major life activity under consideration is 
        that of working, the statutory phrase `substantially limits' requires 
        ... that plaintiffs allege that they are unable to work in a broad class 
        of jobs." 527 U. S., at 491 (emphasis added). Because of the conceptual 
        difficulties inherent in the argument that working could be a major life 
        activity, we have been hesitant to hold as much, and we need not decide 
        this difficult question today. In Sutton, we noted that even assuming 
        that working is a major life activity, a claimant would be required to 
        show an inability to work in a "broad range of jobs," rather 
        than a specific job. Id., at 492. But Sutton did not suggest that a class-based 
        analysis should be applied to any major life activity other than working. 
        Nor do the EEOC regulations. In defining "substantially limits," 
        the EEOC regulations only mention the "class" concept in the 
        context of the major life activity of working. 29 CFR §1630.2(j)(3) (2001) 
        ("With respect to the major life activity of working[,] [t]he term 
        substantially limits means significantly restricted in the ability to 
        perform either a class of jobs or a broad range of jobs in various classes 
        as compared to the average person having comparable training, skills and 
        abilities"). Nothing in the text of the Act, our previous opinions, 
        or the regulations suggests that a class-based framework should apply 
        outside the context of the major life activity of working. | 
| [54] | While the Court of Appeals in this case addressed the different major 
        life activity of performing manual tasks, its analysis circumvented Sutton 
        by focusing on respondent's inability to perform manual tasks associated 
        only with her job. This was error. When addressing the major life activity 
        of performing manual tasks, the central inquiry must be whether the claimant 
        is unable to perform the variety of tasks central to most people's daily 
        lives, not whether the claimant is unable to perform the tasks associated 
        with her specific job. Otherwise, Sutton's restriction on claims of disability 
        based on a substantial limitation in working will be rendered meaningless 
        because an inability to perform a specific job always can be recast as 
        an inability to perform a "class" of tasks associated with that 
        specific job. | 
| [55] | There is also no support in the Act, our previous opinions, or the regulations 
        for the Court of Appeals' idea that the question of whether an impairment 
        constitutes a disability is to be answered only by analyzing the effect 
        of the impairment in the workplace. Indeed, the fact that the Act's definition 
        of "disability" applies not only to Title I of the Act, 42 U. 
        S. C. §§12111-12117 (1994 ed.), which deals with employment, but also 
        to the other portions of the Act, which deal with subjects such as public 
        transportation, §§12141-12150, 42 U. S. C. §§12161-12165 (1994 ed. and 
        Supp. V), and privately provided public accommodations, §§12181-12189, 
        demonstrates that the definition is intended to cover individuals with 
        disabling impairments regardless of whether the individuals have any connection 
        to a workplace. | 
| [56] | Even more critically, the manual tasks unique to any particular job 
        are not necessarily important parts of most people's lives. As a result, 
        occupation-specific tasks may have only limited relevance to the manual 
        task inquiry. In this case, "repetitive work with hands and arms 
        extended at or above shoulder levels for extended periods of time," 
        224 F. 3d, at 843, the manual task on which the Court of Appeals relied, 
        is not an important part of most people's daily lives. The court, therefore, 
        should not have considered respondent's inability to do such manual work 
        in her specialized assembly line job as sufficient proof that she was 
        substantially limited in performing manual tasks. | 
| [57] | At the same time, the Court of Appeals appears to have disregarded the 
        very type of evidence that it should have focused upon. It treated as 
        irrelevant "[t]he fact that [respondent] can ... ten[d] to her personal 
        hygiene [and] carr[y] out personal or household chores." Ibid. Yet 
        household chores, bathing, and brushing one's teeth are among the types 
        of manual tasks of central importance to people's daily lives, and should 
        have been part of the assessment of whether respondent was substantially 
        limited in performing manual tasks. | 
| [58] | The District Court noted that at the time respondent sought an accommodation 
        from petitioner, she admitted that she was able to do the manual tasks 
        required by her original two jobs in QCIO. App. to Pet. for Cert. A-36. 
        In addition, according to respondent's deposition testimony, even after 
        her condition worsened, she could still brush her teeth, wash her face, 
        bathe, tend her flower garden, fix breakfast, do laundry, and pick up 
        around the house. App. 32-34. The record also indicates that her medical 
        conditions caused her to avoid sweeping, to quit dancing, to occasionally 
        seek help dressing, and to reduce how often she plays with her children, 
        gardens, and drives long distances. Id., at 32, 38-39. But these changes 
        in her life did not amount to such severe restrictions in the activities 
        that are of central importance to most people's daily lives that they 
        establish a manual-task disability as a matter of law. On this record, 
        it was therefore inappropriate for the Court of Appeals to grant partial 
        summary judgment to respondent on the issue whether she was substantially 
        limited in performing manual tasks, and its decision to do so must be 
        reversed. | 
| [59] | In its brief on the merits, petitioner asks us to reinstate the District 
        Court's grant of summary judgment to petitioner on the manual task issue. 
        In its petition for certiorari, however, petitioner did not seek summary 
        judgment; it argued only that the Court of Appeals' reasons for granting 
        partial summary judgment to respondent were unsound. This Court's Rule 
        14(1)(a) provides: "Only the questions set out in the petition, or 
        fairly included therein, will be considered by the Court." The question 
        whether petitioner was entitled to summary judgment on the manual task 
        issue is therefore not properly before us. See Irvine v. California, 347 
        U. S. 128, 129-130 (1954). | 
| [60] | Accordingly, we reverse the Court of Appeals' judgment granting partial 
        summary judgment to respondent and remand the case for further proceedings 
        consistent with this opinion. | 
| [61] | So ordered. | 
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