Short Form 36

Medical Outcomes Study Short Form 36

Area of Assessment

Activities of Daily Living
Quality of Life

Time

minutes , 10 minutes; 41 and 47 minutes, respectively, for individuals with paraplegia & tetraplegia (Anderson et al., 1999)

Assessment Type

Patient Reported Outcomes

cost

Not Free

Rehabilitation Measure

RehabMeasures Instrument

Reintegration to Normal Living Index

Area of Assessment

Activities of Daily Living
Social Relationships

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

WHO Quality of Life-BREF (WHOQOL-BREF)

Area of Assessment

Activities of Daily Living
General Health
Life Participation
Mental Health
Quality of Life
Social Relationships

Time

minutes , 10-15 minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

Rehabilitation Measures

Executive Function Performance Test

Area of Assessment

Activities of Daily Living
Behavior
Cognition
Coordination
Executive Functioning
Functional Mobility
Quality of Life

Time

minutes

Assessment Type

Observer

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Activities-Specific Balance Confidence Scale

Area of Assessment

Balance – Vestibular
Balance – Non-vestibular
Functional Mobility

Time

minutes , New Clinician and Experienced Clinician: approximately 5-10 minutes
Can be self-administered or via interview; recommended to administer by face-to-face interview (Powell & Meyers et al, 1995).

Assessment Type

Patient Reported Outcomes

cost

Not Free

Rehabilitation Measure

Patient Health Questionnaire

Patient Health Questionnaire (PHQ-9)

Area of Assessment

Depression

Time

minutes , 1 to 3 minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Sickness Impact Profile

Area of Assessment

Behavior
Life Participation
Mental Health
Social Relationships

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Quality of Upper Extremity Skills Test

Area of Assessment

Upper Extremity Function

Time

minutes

Assessment Type

Performance Measure

cost

$99.00

Rehabilitation Measure

RehabMeasures Instrument

Full Outline of UnResponsiveness Score

Time

minutes

Assessment Type

Observer

cost

Free

Rehabilitation Measure

Rehab Measures Image

Beery-Buktenica Developmental Test of Visual-Motor Integration

Area of Assessment

Cognition
Coordination
Developmental
Dexterity
Infant & Child Development
Vision & Perception

Time

minutes , For the full form

Assessment Type

Performance Measure

cost

$145.00

Rehabilitation Measure

RehabMeasures Instrument

Cognistat Cognitive Assessment/ Neurobehavioral Cognitive Status Examination

Area of Assessment

Cognition

Time

minutes , Up to 30 minutes if impaired

cost

$475.00

Rehabilitation Measure

Rehab Measures Image

Brief - Coping with Problems Experienced

Area of Assessment

Mental Health
Personality
Social Support
Stress & Coping

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure