Activities of daily living assessment form 2026

1. Click ‘Get Form’ to open the activities of daily living assessment form in our editor.
2. Begin with the 'Bathing' section. Indicate whether the individual bathes independently (1 point) or requires assistance (0 points). Enter the corresponding points in the designated field.
3. Proceed to 'Dressing'. Assess if the person can dress themselves without help (1 point) or needs assistance (0 points), and record the score.
4. In the 'Toileting' section, evaluate independence in using the toilet. Assign points based on their ability to manage this task alone (1 point) or if they need help (0 points).
5. Next, review 'Transferring'. Determine if they can move from bed to chair unassisted (1 point) or require support (0 points), and input your findings.
6. For 'Continence', assess control over urination and defecation. Score them accordingly, with 1 point for full control and 0 for any level of incontinence.
7. Finally, evaluate 'Feeding'. Check if they can feed themselves without assistance (1 point) or need help (0 points), and enter this score.
8. Sum all points to determine total independence. A higher score indicates greater independence. Review your entries for accuracy before finalizing.

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