Revised Fibromyalgia Impact Questionnaire

Revised Fibromyalgia Impact Questionnaire

Area of Assessment

Activities of Daily Living
Quality of Life
Functional Mobility
Life Participation
Pain
Sleep
Mental Health

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Transfer Assessment Instrument

Transfer Assessment Instrument

Area of Assessment

Functional Mobility

Time

minutes

Assessment Type

Performance Measure

cost

$0.00

Rehabilitation Measure

Rehab Measures Database

Occupational Performance History Interview-II

Area of Assessment

Activities of Daily Living
Behavior
Life Participation
Occupational Performance
Mental Health
Quality of Life
Social Relationships
Social Support

Time

minutes , The interview component should take approximately one hour if done as a single interview.

Assessment Type

Other

cost

$40.00

Rehabilitation Measure

RehabMeasures Instrument

Parkinson's Disease Questionnaire - 39

Area of Assessment

Activities of Daily Living
Attention & Working Memory
Cognition
Communication
Depression
Functional Mobility
Quality of Life
Social Relationships
Social Support

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Parkinson’s Disease Questionnaire-8

Area of Assessment

Activities of Daily Living
Attention & Working Memory
Communication
Depression
Quality of Life
Social Relationships

Time

minutes , (Huang et al, 2010)

Assessment Type

Patient Reported Outcomes

cost

Not Free

Rehabilitation Measure

RehabMeasures Instrument

Tinetti Falls Efficacy Scale

Area of Assessment

Activities of Daily Living
Balance – Non-vestibular
Functional Mobility
Life Participation
Self-efficacy

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

Rehab Measures Database

Health of the Nation Outcome Scales for Children and Adolescents

Area of Assessment

Behavior
Attention & Working Memory
Substance
Developmental
Social Support
Social Relationships
Activities of Daily Living
Psychosis
Occupational Performance
Incontinence
Infant & Child Development
Mental Health
General Health
Negative Affect

Time

minutes , One study reported average time to complete the assessment was 8.5 minutes with a range of 2 to 20 minutes.

Assessment Type

Observer

cost

$0.00

Rehabilitation Measure

Rehab Measures Database

Bayley Scales of Infant and Toddler Development, Fourth Edition

Area of Assessment

Infant & Child Development
Developmental

Time

minutes , Time dependent on child's age.

Assessment Type

Observer

cost

$1191.60

Rehabilitation Measure

RMD

Arc’s Self-Determination Scale

Area of Assessment

Activities of Daily Living
Behavior
Assertiveness
Life Participation
Motivation
Quality of Life
Reasoning/Problem Solving
Self-efficacy
Social Support
Social Relationships

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

RMD

Control, Autonomy, Self-Realization and Pleasure (CASP-19)

Area of Assessment

Quality of Life

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

RMD

General Self-Efficacy Scale

Area of Assessment

Life Participation
Quality of Life
Self-efficacy
Stress & Coping

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

RMD

Weekly Calendar Planning Activity

Area of Assessment

Attention & Working Memory
Cognition
Executive Functioning

Time

minutes , Short form: approximately 10-15 minutes

Level 1 & 2: approximately 20-25 minutes

Level 3: 30-40 minutes

Assessment Type

Performance Measure

cost

$140.00

Rehabilitation Measure