Get Dementia Severity Rating Scale

This guide provides step-by-step instructions on how to accurately complete the Dementia Severity Rating Scale online. This scale helps assess the severity of dementia symptoms and is essential for proper diagnosis and support.

Follow the steps to fill out the Dementia Severity Rating Scale effectively.

1. Press the ‘Get Form’ button to access the Dementia Severity Rating Scale and open it in the editor.
2. Begin by filling in the participant’s name and the date at the top of the form, then enter your name as the individual completing the form.
3. Indicate if you live with the participant by selecting 'No' or 'Yes'.
4. Specify your contact frequency with the participant by choosing one of the available options ranging from less than once a week to five or more days a week.
5. Select your relationship to the participant from the given options, including self, spouse, sibling, child, and other.
6. Proceed to the sections concerning memory, speech and language, recognition of family members, and so forth. For each section, read the descriptions carefully and circle the number that most closely reflects the participant's current state.
7. Ensure that you only circle one number per section and attempt to answer each question. Consider the participant’s condition most of the time for best accuracy.
8. Continue through the remaining sections, which include orientation to time, orientation to place, ability to make decisions, social and community activity, and personal care.
9. Once all sections are completed and reviewed for accuracy, save your changes. You can also download, print, or share the form as needed.

Start filling out the Dementia Severity Rating Scale online today for accurate assessment and support.