Activities of daily living assessment form 2025

Get Form
activities of daily living assessment form Preview on Page 1

Here's how it works

01. Edit your activities of daily living assessment form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send activities of daily living assessment form via email, link, or fax. You can also download it, export it or print it out.

How to edit Activities of daily living assessment form online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

With DocHub, making adjustments to your paperwork takes only some simple clicks. Make these quick steps to edit the PDF Activities of daily living assessment form online free of charge:

  1. Register and log in to your account. Sign in to the editor with your credentials or click Create free account to test the tool’s features.
  2. Add the Activities of daily living assessment form for editing. Click the New Document button above, then drag and drop the sample to the upload area, import it from the cloud, or via a link.
  3. Adjust your template. Make any adjustments needed: insert text and photos to your Activities of daily living assessment form, underline information that matters, erase sections of content and substitute them with new ones, and insert symbols, checkmarks, and areas for filling out.
  4. Complete redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and efficient. Try it now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
The six standard ADLs are generally recognized as bathing, dressing, toileting, transferring (getting in and out of bed or chair), eating, and continence. ADLs are the most common triggers used by insurance companies to determine eligibility for long-term care insurance benefits.
The Katz ADL scale evaluates how well you can do six basic ADLs. You get one point for each task you can do independently, and zero points for each task you need help with. So, you can get up to six points, and the higher the score, the more you can do on your own.
Activities of Daily Living (ADL) Profile - Originally developed for traumatic brain injury patients, the ADL profile uses both observation and interview to assess function in tasks completed in the personal, home, and community environments.
STRENGTHS AND LIMITATIONS: The Katz ADL Index assesses basic activities of daily living. It does not assess more advanced activities of daily living. Katz developed another scale for instrumental activities of daily living such as heavy housework, shopping, managing finances and telephoning.
An ADL assessment is used to ensure the individual can complete everyday tasks safely and independently, or to identify if equipment or services are required to assist them while they recover from their injury.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

The 6 basic ADLs include dressing, toileting, washing, feeding, mobility, and transferring, which are all required for daily life.
All 12 activities include, maintaining a safe environment, communication, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying.
Klein-Bell Scale This scale has a 170-item list that assesses six ADL categories. Each item is scored 0 (when you cant perform the activity) or 1 (when you can perform the activity), and the score is totaled to determine your functional status. High scores indicate high independence.