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Community Health Model Activities Program for Seniors Physical Activity Questionnaire
Area of Assessment
Activities of Daily LivingTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Parenting Stress Index, Fourth Edition Short Form
Area of Assessment
CommunicationDevelopmental
Infant & Child Development
Mental Health
Occupational Performance
Quality of Life
Social Relationships
Social Support
Stress & Coping
Time
minutesAssessment Type
Patient Reported Outcomescost
$152.00Rehabilitation Measure
Facilitators and Barriers Survey of environmental influences on participation among people with lower limb Mobility impairments and limitations
Area of Assessment
Activities of Daily LivingBehavior
Coordination
General Health
Life Participation
Quality of Life
Time
minutes , 60 to 90 minutes for the hard copy version, a web based version is also available.Assessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Timed Up and Go
Area of Assessment
Balance – Non-vestibularFunctional Mobility
Gait
Vestibular
Time
minutesAssessment Type
Observercost
FreeRehabilitation Measure
Functional Gait Assessment
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Gait
Time
minutes , New Clinician: less than 20 minutesExperienced Clinician: 5-10 minutes
Assessment Type
Observercost
FreeRehabilitation Measure
Dynamic Gait Index
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Functional Mobility
Gait
Time
minutes , May vary with patient's abilitiesAssessment Type
Observercost
FreeRehabilitation Measure
Needs Assessment Checklist
Area of Assessment
Activities of Daily LivingGeneral Health
Range of Motion
Social Relationships
Social Support
Incontinence
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Timed Up and Go Dual Task; Timed Up and Go (Cognitive); Timed Up and Go (Motor); Timed Up and Go (Manual)
Time
minutescost
Not FreeRehabilitation Measure
Four Square Step Test
Area of Assessment
Activities of Daily LivingBalance – Vestibular
Balance – Non-vestibular
Coordination
Time
minutesAssessment Type
Performance Measurecost
FreeRehabilitation Measure
Neck Disability Index
Area of Assessment
Activities of Daily LivingAttention & Working Memory
Functional Mobility
Life Participation
Occupational Performance
Pain
Quality of Life
Sleep
Time
minutes , 5 minutes or lessAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Mini Balance Evaluation Systems Test
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Functional Mobility
Gait
Vestibular
Time
minutesAssessment Type
Performance Measurecost
FreeRehabilitation Measure