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FUNCTIONAL ASSESSMENT QUESTIONNAIRE Eval/Progess/Discharge Date: Number of Visits: Patient Name: Dx: Using the key below please circle one answer in each box that indicates your ability to do the.

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Definition. The Functional Activities Questionnaire (FAQ) is a screening diagnostic tool directed at evaluating independence in activities of daily living (ADL). It was designed to be used in population-based studies on mildly senile dementia and normal aging.

BEST TOOL: The Functional Activities Questionnaire (FAQ) measures instrumental activities of daily living (IADLs), such as preparing balanced meals and managing personal finances.

The Activities of Daily Living Questionnaire (ADLQ) is an informant-based assessment that measures an individual's functional ability and is designed for those with probable neurocognitive disorders (NCD) of the Alzheimer's and related types (Johnson, Barion, Rademaker, Rehkemper, & Weintraub, 2004).

Components of functional assessment - Vision and hearing, mobility, continence, nutrition, mental status (cognition and affect), affect, home environment, social support, ADL-IADL. ADL's (activities of daily living) are basic activities such as transferring, ambulating, bathing, etc.

Mini-Mental State Examination (MMSE) This test is currently the most widely used cognitive assessment tool. It takes 10-15 minutes to administer. It is scored out of 30, with a score below 24 suggesting dementia.

The FAST scale is a functional scale designed to evaluate patients at the more moderate-severe stages of dementia when the MMSE no longer can reflect changes in a meaningful clinical way. Normal adult: No difficulty either subjectively or objectively.

The Functional Activities Questionnaire (FAQ) serves a screening tool for evaluating ADI's independence. The instrument was intended for community studies of normal aging and moderate senile dementia. In order to take the FAQ, a lay informant (i.e. spouse, friend, or relative) must administer it.

The Functional Status Questionnaire (FSQ) is a self-administered functional assessment that provides information on the patient's physical, psychological, social and role functions.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232