Figure 1: Functional Disability Rating Scale9 Figure 1: Functional Disability Rating Scale9 Figure 1: Functional Disability Rating Scale9 Figure 1: Functional Disability Rating Scale9 Figure 1: Functional Disability Rating Scale9 Figure 1: Functional Disability Rating Scale9
Education 0 – no formal schooling 1 – special school or special education classes 2 – regular classes, but not at grade level 3 – regular school, grade-appropriate for age (within 2 years)
Employment 0 – unable to work/homebound 1 – sheltered workshop 2 – special job 3 – regular job
Speech 0 – no verbal communication 1 – rare understandable words with nonverbal communication 2 – speech understandable with difficulty 3 – detectable speech disturbance but readily understood 4 – normal speech
Feeding 0 – tube feedings only 1 – some oral feedings, with supplemental tube feedings 2 – oral feedings with consistent changes in diet 3 – normal diet with occasional choking 4 – normal swallowing
Dressing 0 – total dependence 1 – can assist with dressing but dependent on others 2 – independent, but with decreased efficiency 3 - normal
Toileting 0 – total dependence 1 – needs assistance 2 – independent, but with decreased efficiency 3 – normal
Writing 0 – cannot reach for and grasp writing utensil 1 – can reach for and grasp writing utensil, but cannot scribble 2 – can scribble, but cannot draw or write letters 3 – can draw or write letters 4 – normal for age
Sitting 0 – cannot sit without support 2 – can sit without support
Walking 0 – wheelchair or bedbound 1 – can crawl/bunny hop 2 – can walk a few steps, but needs adaptive aids or other support 3 – needs adaptive aids to walk 20 feet 4 – impaired gait, but uses no assistive devices 5 – normal gait
Breathing 0 – ventilator or constant respiratory support 1 – intermittent use of non-invasive respiratory support 2 – has respiratory symptoms, but does not use ventilator support 3 – normal breathing
Total Score (Out of 31 Points) Total Score (Out of 31 Points) Total Score (Out of 31 Points) Total Score (Out of 31 Points) Total Score (Out of 31 Points) Total Score (Out of 31 Points) Total Score (Out of 31 Points)
Used if beyond school age (instead of education) *Used if beyond school age (instead of education) *Used if beyond school age (instead of education) *Used if beyond school age (instead of education) *Used if beyond school age (instead of education) *Used if beyond school age (instead of education) *Used if beyond school age (instead of education)