Pick the line that most closely matches how you manage each activity. If an activity does not cause difficulty, choose the 0 point option. This is a rough guide, not a decision.
Preparing food Daily living Preparing and cooking a simple meal from fresh ingredients.
1A: 0 points Can prepare and cook a simple meal unaided. 1B: 2 points Needs an aid or appliance to prepare or cook a simple meal. 1C: 2 points Cannot cook a simple meal using a conventional cooker, but can do so using a microwave. 1D: 2 points Needs prompting to prepare or cook a simple meal. 1E: 4 points Needs supervision or assistance to prepare or cook a simple meal. 1F: 8 points Cannot prepare and cook food.
Taking nutrition Daily living Eating, drinking, and taking nutrition safely and reliably.
2A: 0 points Can take nutrition unaided. 2B: 2 points Needs an aid or appliance, supervision, or assistance to cut up food. 2C: 2 points Needs a therapeutic source to take nutrition. 2D: 4 points Needs prompting to take nutrition. 2E: 6 points Needs assistance to manage a therapeutic source to take nutrition. 2F: 10 points Cannot convey food and drink to their mouth and needs another person to do so.
Managing therapy or monitoring a health condition Daily living Managing medication, therapy, or monitoring a health condition.
3A: 0 points Can manage medication, therapy, or monitoring unaided, or does not need to. 3B: 1 point Needs an aid, appliance, supervision, prompting, or assistance to manage medication or monitor health. 3C: 2 points Needs supervision, prompting, or assistance to manage therapy up to 3.5 hours a week. 3D: 4 points Needs supervision, prompting, or assistance to manage therapy more than 3.5 and up to 7 hours a week. 3E: 6 points Needs supervision, prompting, or assistance to manage therapy more than 7 and up to 14 hours a week. 3F: 8 points Needs supervision, prompting, or assistance to manage therapy more than 14 hours a week.
Washing and bathing Daily living Getting washed or bathed safely and reliably.
4A: 0 points Can wash and bathe unaided. 4B: 2 points Needs an aid or appliance to wash or bathe. 4C: 2 points Needs supervision or prompting to wash or bathe. 4D: 2 points Needs assistance to wash either their hair or body below the waist. 4E: 3 points Needs assistance to get in or out of a bath or shower. 4F: 4 points Needs assistance to wash their body between the shoulders and waist. 4G: 8 points Cannot wash and bathe at all and needs another person.
Managing toilet needs or incontinence Daily living Using the toilet and managing incontinence.
5A: 0 points Can manage toilet needs or incontinence unaided. 5B: 2 points Needs an aid or appliance to manage toilet needs or incontinence. 5C: 2 points Needs supervision, prompting, or assistance to manage toilet needs. 5D: 4 points Needs assistance to manage incontinence of either bladder or bowel. 5E: 6 points Needs assistance to manage incontinence of both bladder and bowel. 5F: 8 points Cannot manage toilet needs or incontinence at all and needs another person.
Dressing and undressing Daily living Getting dressed, undressed, and choosing suitable clothing.
6A: 0 points Can dress and undress unaided. 6B: 2 points Needs an aid or appliance to dress or undress. 6C: 2 points Needs prompting or assistance to select appropriate clothing. 6D: 2 points Needs assistance to dress or undress their lower body. 6E: 4 points Needs assistance to dress or undress their upper body. 6F: 8 points Cannot dress or undress at all.
Communicating verbally Daily living Speaking, hearing, and understanding verbal information.
7A: 0 points Can express and understand verbal information unaided. 7B: 2 points Needs an aid or appliance to express or understand verbal information. 7C: 4 points Needs communication support to express or understand complex verbal information. 7D: 8 points Needs communication support to express or understand basic verbal information. 7E: 12 points Cannot express or understand verbal information even with support.
Reading and understanding Daily living Reading and understanding signs, symbols, and words.
8A: 0 points Can read and understand basic and complex written information unaided, or using glasses or contact lenses. 8B: 2 points Needs an aid or appliance, other than glasses or contact lenses, to read or understand written information. 8C: 2 points Needs prompting to read or understand complex written information. 8D: 4 points Needs prompting to read or understand basic written information. 8E: 8 points Cannot read or understand signs, symbols, or words at all.
Engaging with other people face to face Daily living Managing face-to-face contact with other people.
9A: 0 points Can engage with other people unaided. 9B: 2 points Needs prompting to engage with other people. 9C: 4 points Needs social support to engage with other people. 9D: 8 points Cannot engage with other people because it causes overwhelming psychological distress or creates a substantial risk.
Making budgeting decisions Daily living Managing simple and complex money decisions.
10A: 0 points Can make budgeting decisions unaided. 10B: 2 points Needs prompting or assistance to make complex budgeting decisions. 10C: 4 points Needs prompting or assistance to make simple budgeting decisions. 10D: 6 points Cannot make any budgeting decisions at all.
Planning and following journeys Mobility Planning routes, starting journeys, and following journeys.
11A: 0 points Can plan and follow the route of a journey unaided. 11B: 4 points Needs prompting to undertake any journey to avoid overwhelming psychological distress. 11C: 8 points Cannot plan the route of a journey. 11D: 10 points Cannot follow the route of an unfamiliar journey without another person, assistance dog, or orientation aid. 11E: 10 points Cannot undertake any journey because it would cause overwhelming psychological distress. 11F: 12 points Cannot follow the route of a familiar journey without another person, assistance dog, or orientation aid.
Moving around Mobility Standing and moving outdoors or indoors.
12A: 0 points Can stand and then move more than 200 metres. 12B: 4 points Can stand and then move more than 50 metres but no more than 200 metres. 12C: 8 points Can stand and then move unaided more than 20 metres but no more than 50 metres. 12D: 10 points Can stand and then move using an aid or appliance more than 20 metres but no more than 50 metres. 12E: 12 points Can stand and then move more than 1 metre but no more than 20 metres. 12F: 12 points Cannot stand or cannot move more than 1 metre, even with an aid or appliance.