Health and Work Performance Questionnaire

World Health Organization Health and Work Performance Questionnaire

Area of Assessment

Occupational Performance

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Workplace Activity Limitations Scale

Workplace Activity Limitations Scale

Area of Assessment

Functional Mobility
Occupational Performance
Upper Extremity Function

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Community Participation Indicators

Community Participation Indicators

Area of Assessment

Life Participation
Social Relationships
Activities of Daily Living

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

Psychosocial Adjustment to Illness Scale

Psychosocial Adjustment to Illness Scale

Area of Assessment

Social Relationships
Social Support
Negative Affect
Quality of Life

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Not Free

Rehabilitation Measure

Revised Fibromyalgia Impact Questionnaire

Revised Fibromyalgia Impact Questionnaire

Area of Assessment

Activities of Daily Living
Quality of Life
Functional Mobility
Life Participation
Pain
Sleep
Mental Health

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Transfer Assessment Instrument

Transfer Assessment Instrument

Area of Assessment

Functional Mobility

Time

minutes

Assessment Type

Performance Measure

cost

$0.00

Rehabilitation Measure

Rehab Measures Database

Occupational Performance History Interview-II

Area of Assessment

Activities of Daily Living
Behavior
Life Participation
Occupational Performance
Mental Health
Quality of Life
Social Relationships
Social Support

Time

minutes , The interview component should take approximately one hour if done as a single interview.

Assessment Type

Other

cost

$40.00

Rehabilitation Measure

Rehab Measures Database

Melbourne Low-Vision ADL Index

Area of Assessment

Activities of Daily Living
Life Participation
Quality of Life
Self-efficacy

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

$0.00

Rehabilitation Measure

Rehab Measures Database

Assessment of Driving-Related Skills

Area of Assessment

Attention & Working Memory
Cognition
Functional Mobility
Range of Motion
Strength
Upper Extremity Function
Vision & Perception

Time

minutes

Assessment Type

Performance Measure

cost

$200.00

Rehabilitation Measure

Contextual Memory Test

Contextual Memory Test

Area of Assessment

Attention & Working Memory
Cognition
Reasoning/Problem Solving

Time

minutes , Part I takes 10-20 minutes, then there is a 15-20 minute delay before Part II if additional testing is needed.

Assessment Type

Performance Measure

cost

$142.00

Rehabilitation Measure

Rehab Measures Database

Shriners Hospital Upper Extremity Evaluation

Area of Assessment

Activities of Daily Living
Range of Motion

Time

minutes

Assessment Type

Performance Measure

cost

$0.00

Rehabilitation Measure

Rehabilitation Measures

Mann Assessment of Swallowing Ability (MASA)

Area of Assessment

Swallowing

Time

minutes

Assessment Type

Performance Measure

cost

$1600.00

Rehabilitation Measure