ADLs

Question 1

Attempting to brush teeth

Answer 1

1-2

Question 2

Knowing where familiar items are kept

Answer 2

1-2

Question 3

removing own socks and shoes

Answer 3

1-2

Question 4

cooperating with dressing by extending an arm or leg/pushes arms and legs through

Answer 4

1-2

Question 5

using toilet with assistance and having daytime control

Answer 5

2-3

Question 6

pulls down pants

Answer 6

2-3

Question 7

finds armholes in pullovers

Answer 7

2-3

Question 8

removes jackets if unfastened

Answer 8

2-3

Question 9

unbuttoning large buttons

Answer 9

2-3

Question 10

puts on a front button shirt

Answer 10

2-3

Question 11

distinguishing between urination and bowel movements, and names them correctly

Answer 11

2-3

Question 12

using a napkin to wipe face and hands

Answer 12

2-3

Question 13

feeding self simple meals using a fork and spoon

Answer 13

2-3

Question 14

taking socks and shoes off

Answer 14

2-3

Question 15

knowing where familiar items are kept

Answer 15

2-3

Question 16

attempting to brush teeth

Answer 16

2-3

Question 17

feeding self without difficulty

Answer 17

3-4

Question 18

buttons large buttons

Answer 18

3-4

Question 19

puts on pullover

Answer 19

3-4

Question 20

zips and unzips (except to get zipper started)

Answer 20

3-4

Question 21

snap

Answer 21

3-4

Question 22

independently putting things away

Answer 22

3-4

Question 23

using a napkin to wipe face and hands

Answer 23

3-4

Question 24

toileting independently

Answer 24

3-4

Question 25

dressing and undressing self (only requiring assistance with laces, buttons and other fasteners in awkward places)

Answer 25

3-4

Question 26

brushing teeth independently

Answer 26

3-4

Question 27

identifies front and back

Answer 27

4-5

Question 28

zips jacket

Answer 28

4-5

Question 29

dresses independently

Answer 29

5ish

Question 30

ties shoes

Answer 30

5-6+