Role Checklist Version 3
Area of Assessment
Life ParticipationMotivation
Occupational Performance
Time
minutesAssessment Type
Patient Reported Outcomescost
$44.00Rehabilitation Measure
Mann Assessment of Swallowing Ability (MASA)
Area of Assessment
SwallowingTime
minutesAssessment Type
Performance Measurecost
$1600.00Rehabilitation Measure
Acute Care Index of Function
Area of Assessment
Functional MobilityCognition
Activities of Daily Living
Time
minutesAssessment Type
Performance Measurecost
$0.00Rehabilitation Measure
Trunk Appearance Perception Scale
Area of Assessment
InsightNegative Affect
Patient Satisfaction
Positive Affect
Quality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Chronic Pain Grade Scale
Area of Assessment
PainLife Participation
Quality of Life
General Health
Time
minutes , Average completion time is 3-4 minutes.Assessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
PROMIS – Ability to Participate in Social Roles and Activities
Area of Assessment
CommunicationLife Participation
Quality of Life
Occupational Performance
Social Relationships
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Brief Symptom Inventory 18
Area of Assessment
DepressionQuality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
$70.00Rehabilitation 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
$0.00Rehabilitation Measure
PROMIS – Global Health
Area of Assessment
General HealthQuality of Life
Time
minutes , Variable but design based on item-response theory algorithms to minimize time.Assessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
PROMIS Fatigue
Area of Assessment
General HealthSleep
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
PROMIS Pediatric – Upper Extremity
Area of Assessment
Upper Extremity FunctionTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure