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  • Weiss Functional Impairment Rating Scale

Get Weiss Functional Impairment Rating Scale

Patient Name: Date of Birth: MRN/File No: Physician Name: Date: WEISS FUNCTIONAL IMPAIRMENT RATING SCALE SELF REPORT (WFIRSS) DD MM YY Name: Date: DD MM YY Date of birth: Sex: Male Female Work: Full.

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How to fill out the Weiss Functional Impairment Rating Scale online

The Weiss Functional Impairment Rating Scale is a vital tool for assessing the emotional and behavioral challenges faced by individuals. This guide provides step-by-step instructions for completing the form online, ensuring a user-friendly experience for all.

Follow the steps to effectively complete the form.

  1. Press the 'Get Form' button to access the document and open it in the online editor.
  2. Begin by entering your personal information at the top of the form, including your name, date of birth, physician's name, and the date of completion.
  3. Indicate your gender by selecting either 'Male' or 'Female,' and specify your work status as 'Full time,' 'Part time,' or 'Other.' If you are a student, choose your school status as 'Full time' or 'Part time.'
  4. Evaluate each item in the 'Family' section. For each statement, circle the number that best describes how your emotional or behavioral problems affected you in the last month.
  5. Continue to the 'Work' section and follow the same instructions, rating how your issues impact your work life.
  6. Move to the 'School' section, where you will assess how your challenges affect your academic performance.
  7. In the 'Life Skills' section, reflect on your daily living abilities and circle the appropriate ratings.
  8. Assess your self-concept in the next section, focusing on how you feel about yourself and your life.
  9. In the 'Social' section, evaluate your interactions with others and circle the number that applies.
  10. Lastly, in the 'Risk' section, consider behaviors that may pose risks to your safety or well-being.
  11. Once you have completed all sections, review your responses for accuracy. You can then save your changes, download, print, or share the form as needed.

Start filling out the Weiss Functional Impairment Rating Scale online today to evaluate your functional impairments.

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Measurement properties of the Weiss Functional Impairment Rating Scale-Parent Report Form (WFIRS-P), which assesses attention-deficit/hyperactivity disorder (ADHD)-related functional impairment in children/adolescents (6–17 years), were examined.

The SFIRS is principally intended for use in clinical assessment of ADHD severity; therefore, responses use a 5-point Likert scale (0=never, 1=occasionally, 2=sometimes, 3=often, 4=always). The items are all positively scored. Higher scores indicate more serious symptoms or more severe impairment.

Scoring The instrument uses a Likert scale such that any item rating 2 or 3 is clinically impaired. The scale can be scored by looking at the total score or by creating a mean score for the total score/number items for each domain, omitting those rated not applicable.

Each item is rated on a four-point scale from 0 ('never or not at all') to 3 ('very often or very much') or rated as 'not applicable'. The mean of all scored items for each domain was computed. Each domain score, therefore, has a minimum–maximum range of 0–3.

The Weiss Functional Impairment Rating Scale-Parent Form (WFIRS-P) is a 50-item scale designed to evaluate the extent to which an individual's ability to function is impaired by any emotional or behavioural problems [2].

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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