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Click ‘Get Form’ to open it in the editor.
Begin by reviewing the checklist sections, which cover various disabilities and their associated functional limitations.
For each limitation listed, mark 'Yes', 'No', or 'Don’t Know' based on your personal experience.
In the provided space, detail how you will address any items marked 'Yes'. This helps in planning accommodations.
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What are some examples of functional limitations?

Developmental disabilities can lead to four main types of functional limitations: physical, mental, emotional, and behavioral. Each type affects different areas of daily life and interactions. Understanding these limitations is crucial for supporting individuals with developmental disabilities effectively.

What are functional limitations at work?

A person has a functional limitation when he or she, because of a disability, cannot meet the strength, stamina, endurance or psychological stresses of a job regardless of the work skills possessed by the person; or cannot tolerate the physical environment of the workplace.

What are functional limitations to ADLs?

A person has a functional limitation when he or she, because of a disability, does not have the physical, cognitive or psychological ability to independently perform the routine activities of daily living. Examples of functional limitations include (but are not limited to): Difficulty reading text.

What are functional limitations of work?

They can be physical, such as limited lifting, walking and standing or cognitive such as limited concentration, exposure to stress and multitasking. Limitations and restrictions are caused by a medical condition, an impairment, illness or injury.

What is an example of a functional limitation?

Functional limitation: Reported level of difficulty in six domains of functioning: seeing (even if wearing glasses), hearing (even if wearing hearing aids), mobility (walking or climbing stairs), communication (understanding or being understood by others), cognition (remembering or concentrating), and self-care (such

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