

Adverse Childhood Experiences (ACE) Questionnaire
Area of Assessment
Stress & CopingTime
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Knee Injury and Osteoarthritis Outcome Score for Children
Area of Assessment
Activities of Daily LivingPain
Quality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

6 Minute Walk Test
Area of Assessment
Aerobic CapacityGait
Life Participation
Functional Mobility
Time
minutes , Participants: 6 minutes (plus 10 minutes seated immediately prior to test if needed)Clinicians: 10 minutes (6-minutes test administration time and an estimated 4 added minutes for set up and break-down of the test materials and environment.
Assessment Type
Observercost
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

Home and Community Environment
Area of Assessment
Activities of Daily LivingFunctional Mobility
Social Relationships
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Rivermead Post Concussion Symptoms Questionnaire: Modified Scoring System
Area of Assessment
CognitionTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation 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

Leicester Cough Questionnaire
Area of Assessment
Quality of LifeTime
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Motor Activity Log
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Orientation Log
Area of Assessment
CognitionTime
minutes , 3 minutes if fully orientedup to 15 minutes if patient requires multiple cues
Assessment Type
Performance Measurecost
FreeRehabilitation Measure

WHO Quality of Life-BREF (WHOQOL-BREF)
Area of Assessment
Activities of Daily LivingGeneral Health
Life Participation
Mental Health
Quality of Life
Social Relationships
Time
minutes , 10-15 minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure