Get Smith's Low Vision Independence Measure 2020-2025

The Smith's Low Vision Independence Measure is an essential tool designed to assess the difficulties individuals may face in daily activities due to low vision. This guide provides clear and supportive instructions on how to complete the measure online, ensuring users can accurately convey their experiences.

Follow the steps to complete the Smith's Low Vision Independence Measure online.

1. Press the ‘Get Form’ button to access the Smith's Low Vision Independence Measure and open it in the designated editor.
2. Review the Self Care section. For each activity listed, rate the difficulty level by selecting a number from 1 to 4 based on your experiences, where 4 means 'Not Difficult' and 1 means 'Unable'. Be sure to consider each activity independently and provide comments if needed.
3. Proceed to the Food Preparation section. Similar to the previous section, respond to each activity regarding the ease of completion, again using the rating scale provided. Remember to document any specific thoughts in the comments section.
4. Navigate to the Home Management section. Evaluate your ability to perform the listed tasks, and provide ratings as required. Use the comments area to elaborate on any particular challenges.
5. Move on to the Communication section. Rate each activity based on your experiences and provide feedback in the comments section where applicable.
6. Complete the Financial Management section using the same rating method. This section assesses your ability to manage financial tasks.
7. Fill out the Leisure section, rating each listed activity according to the difficulty you experience.
8. In the Shopping section, rate how difficult you find each task and use the comments section for any additional notes.
9. For the Mobility section, assess your experiences related to mobility activities and include comments as necessary.
10. At the end of the form, you can summarize your goals in the provided space. Don’t forget to add your therapist's signature if applicable.
11. Finally, review all your responses, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Smith's Low Vision Independence Measure online today to help identify your needs.