Dance Functional Outcome Survey
Area of Assessment
Functional MobilityPain
Occupational Performance
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Volitional Questionnaire
Area of Assessment
Self-efficacyBehavior
Life Participation
Insight
Time
minutesAssessment Type
Observercost
$40.00Rehabilitation Measure
PROMIS - Pain Intensity
Area of Assessment
PainTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
PROMIS-Sleep Disturbance
Area of Assessment
SleepTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
PROMIS – Pain Interference
Area of Assessment
PainTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Allen Cognitive Level Screen
Area of Assessment
CognitionTime
minutesAssessment Type
Performance Measurecost
Not FreeRehabilitation Measure
Arc’s Self-Determination Scale
Area of Assessment
Activities of Daily LivingBehavior
Assertiveness
Life Participation
Motivation
Quality of Life
Reasoning/Problem Solving
Self-efficacy
Social Support
Social Relationships
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Child and Adolescent Scale of Participation
Area of Assessment
Activities of Daily LivingFunctional Mobility
Life Participation
Occupational Performance
Social Relationships
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Control, Autonomy, Self-Realization and Pleasure (CASP-19)
Area of Assessment
Quality of LifeTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
General Self-Efficacy Scale
Area of Assessment
Life ParticipationQuality of Life
Self-efficacy
Stress & Coping
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Weekly Calendar Planning Activity
Area of Assessment
Attention & Working MemoryCognition
Executive Functioning
Time
minutes , Short form: approximately 10-15 minutesLevel 1 & 2: approximately 20-25 minutes
Level 3: 30-40 minutes
Assessment Type
Performance Measurecost
$140.00Rehabilitation Measure
de Morton Mobility Index
Area of Assessment
Balance – Non-vestibularGait
Seating
Strength
Time
minutes , It has been reported that the average time to administer is less than 9 minutes (Davenport and de Morton, 2011).Assessment Type
Performance Measurecost
$0.00Rehabilitation Measure