| INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE (Short version) | |||
| Ability to use telephone | Yes | NO | |
| Q1 | Operates telephone on own initiative-looks up and dials numbers, etc. |
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| Q2 | Dials a few well-known numbers |
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| Q3 | Answers telephone but does not dial |
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| Q4 | Does not use telephone at all |
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| Mode of transportation | |||
| Q1 | Travels independently on public transportation or drives own car |
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| Q2 | Arranges own travel via taxi, but does not otherwise use public transportation |
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| Q3 | Travels on public transportation when accompanied by another |
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| Q4 | Travel limited to taxi or automobile with assistance of another |
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| Q5 | Does not travel at all |
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| Responsibility for own medications | |||
| Q1 | Is responsible for taking medication in correct dosages at correct time |
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| Q2 | Takes responsibility if medication is prepared in advance in separate dosage |
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| Q3 | Is not capable of dispensing own medication |
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| Ability to handle finances | |||
| Q1 | Manges financial matters independently |
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| Q2 | Manages day-to-day purchases, but needs help with banking, major purchases, etc. |
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| Q3 | Incapable of handling money |
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