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Revised Fibromyalgia Impact Questionnaire
Area of Assessment
Activities of Daily LivingQuality of Life
Functional Mobility
Life Participation
Pain
Sleep
Mental Health
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Melbourne Low-Vision ADL Index
Area of Assessment
Activities of Daily LivingLife Participation
Quality of Life
Self-efficacy
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Shriners Hospital Upper Extremity Evaluation
Area of Assessment
Activities of Daily LivingRange of Motion
Time
minutesAssessment Type
Performance Measurecost
$0.00Rehabilitation Measure
Acute Care Index of Function
Area of Assessment
Functional MobilityCognition
Activities of Daily Living
Time
minutesAssessment Type
Performance Measurecost
$0.00Rehabilitation Measure
Brief Symptom Inventory 18
Area of Assessment
DepressionQuality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
$70.00Rehabilitation Measure
Simple Shoulder Test
Area of Assessment
Range of MotionUpper Extremity Function
Time
minutesAssessment Type
Performance Measurecost
$0.00Rehabilitation Measure
Work Environment Impact Scale
Area of Assessment
Patient SatisfactionSocial Support
Occupational Performance
General Health
Time
minutes , The interview should take about 30 Minutes to conduct; the rating scale should take about 10-15 minutes.Assessment Type
Performance Measurecost
$40.00Rehabilitation Measure
Melville-Nelson Evaluation System
Area of Assessment
General HealthLife Participation
Patient Satisfaction
Quality of Life
Occupational Performance
Self-efficacy
Activities of Daily Living
Eating
Functional Mobility
Occupational Performance
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Manual Ability Measure
Area of Assessment
DexterityUpper Extremity Function
Time
minutes , Depending on MAM versionAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Lifestyle Assessment Questionnaire
Area of Assessment
Activities of Daily LivingSocial Support
Social Relationships
Behavior
Sleep
Functional Mobility
Time
minutes , LAQ-CP: Approximately 20 minutes to completeLAQ- G: 15-20 minutes to complete
Assessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Work Limitations Questionnaire-25
Area of Assessment
Occupational PerformanceTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure
Spinal (Scoliosis) Appearance Questionnaire
Area of Assessment
Quality of LifeGeneral Health
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure