

Modified Physical Performance Test
Area of Assessment
Activities of Daily LivingBalance – Non-vestibular
Time
minutesAssessment Type
Performance Measurecost
Not FreeRehabilitation Measure

Ages and Stages Questionnaires
Area of Assessment
BehaviorCognition
Communication
Coordination
Developmental
Dexterity
Infant & Child Development
Personality
Social Relationships
Time
minutes , Each questionnaire is expected to take 15-20 minutes to complete.Assessment Type
Observercost
$295.00Rehabilitation Measure

West Haven-Yale Multidimensional Pain Inventory
Area of Assessment
PainTime
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Brief Pain Inventory
Area of Assessment
Activities of Daily LivingPain
Quality of Life
Time
minutes , Short Form: 5 minutesLong Form: 10 minutes
Assessment Type
Patient Reported Outcomescost
Not FreeRehabilitation Measure

History of Falls Questionnaire
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Functional Mobility
Gait
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Constant-Murley Score
Area of Assessment
Activities of Daily LivingPain
Range of Motion
Strength
Upper Extremity Function
Time
minutesAssessment Type
Performance Measurecost
$0.00Rehabilitation Measure

Psychosocial Adjustment to Illness Scale
Area of Assessment
Social RelationshipsSocial Support
Negative Affect
Quality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
Not FreeRehabilitation Measure

Kohlman Evaluation of Living Skills
Area of Assessment
Activities of Daily LivingCognition
Communication
Life Participation
Occupational Performance
Time
minutesAssessment Type
Observercost
$0.00Rehabilitation Measure

Sensory Processing Measure
Area of Assessment
Activities of Daily LivingBalance – Non-vestibular
Balance – Vestibular
Behavior
Communication
Coordination
Eating
Functional Mobility
Hearing
Occupational Performance
Olfaction
Seating
Smell
Social Relationships
Social Support
Stress & Coping
Taste
Touch
Upper Extremity Function
Vestibular
Vision & Perception
Time
minutes , Time estimate is per formAssessment Type
Observercost
$199.50Rehabilitation Measure

Zarit Burden Interview
Area of Assessment
DepressionMental Health
Negative Affect
Social Support
Stress & Coping
Time
minutesAssessment Type
Observercost
Not FreeRehabilitation Measure

Functional Status Score for the Intensive Care Unit
Area of Assessment
Functional MobilityTime
minutes , Depending on the patient’s functional status; can be incorporated as part of a routine physical therapy session with minimal to no additional time requiredAssessment Type
Performance Measurecost
FreeRehabilitation Measure

Movement Disorder Society-Sponsored Unified Parkinson’s Disease Rating Scale Revision
Area of Assessment
Activities of Daily LivingBalance – Non-vestibular
Behavior
Cognition
Communication
Coordination
Depression
Dysarthria
Eating
Functional Mobility
Gait
Life Participation
Pain
Psychosis
Quality of Life
Sleep
Swallowing
Upper Extremity Function
Time
minutescost
$1000.00Rehabilitation Measure