Self-care

a) Eating

b) Grooming

c) Bathing

d) Dressing: upper body

e) Dressing: lower body

f) Toileting

Sphincter control

g) Bladder management

h) Bowel management

Transfers

i) Bed, chair, wheelchair

j) Toilet

k) Tub, shower

Locomotion

l) Walk/wheelchair

m) Stairs

Motor subtotal score

Communication

n) Comprehension

o) Expression

Social cognition

p) Social interaction

q) Problem solving

r) Memory

Cognitive subtotal score

Total FIM score

FIM scoring

Independent

7: Complete independence (timely, safely)

6: Modified independence (device)

Modified dependence

5: Supervision (subject=100%+)

4: Minimal assist (subject+75%+)

3: Moderate assist (subject+50%+)

Complete dependence

2: Maximal assist (subject=25%+)

1: Total assist (subject=less than 25%)