Skip to content
Home
About us
News
Privacy Policy
Account
Home
About us
News
Privacy Policy
Account
6-B ZRH – Restrictions in ADL, , and IADL towards self-reliance – Occupational Therapy
Document ID
*
1. Move yourself
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
2. Prepare and eat food
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
3. Take care of yourself and dress up
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
4. Maintaining your home and doing household activities
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
5. Assess and avoid danger
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
6. Liaising with other persons
*
Select
No difficulties
Few difficulties
Severe difficulties
Impossible without assistance
Observations
Consent
*
Yes, I agree with the
privacy policy
and
terms and conditions
.
Send Form