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| Name of Assessment | | Name of Assessment | |
|
| Ability to navigate (non-standardized) | □ | Dementia Rating Scale (DRS) | □ |
| Affective Test of Prosody (ATP) | □ | Digit Backward Test | □ |
| Allen Cognitive Levels (ACL) | □ | Digit Forward Test | □ |
| Assessment of Communication and Interaction Skills | □ | Disability Assessment for Dementia (DAD) | □ |
| Assessment of Living Skills | □ | Empirical Behavioral Pathology in Alzheimer’s Disease Rating Scale (E-Behave-AD) | □ |
| Assessment of Living Skills and Resources (ALSAR) | □ | Executive Interview (EXIT) | □ |
| Assessment of Motor and Process Skills (AMPS) | □ | Frontal Assessment Battery (FAB) | □ |
| A Quick Test | □ | Functional Autonomy Measurement System (SMAF) | □ |
| Barthel ADL Assessment (modified) | □ | Functional Independence Measure (FIM) | □ |
| Barthel Index | □ | Functional Performance Measure | □ |
| Bay Area Functional Performance Evaluation (BAFPE) | □ | General ADL (non-standardized) | □ |
| Bedford Alzheimer Nursing Severity Scale; for the severe demented (BANS) | □ | Glasgow Coma Scale (GCS) | □ |
| Canadian Occupational Performance Measure (COPM) | □ | Hierarchic Dementia Scale | □ |
| Chessington OT Neurological Assessment Battery (COTNAB) | □ | Home (non-standardized) | □ |
| Client-Oriented Role Evaluation | □ | Home Environment Assessment Protocol | □ |
| Clinical Observation (non-standardized) | □ | Home Falls and Accidents Screening Tool | □ |
| Clock Drawing Test & Clock Test | □ | Hopkins Verbal Learning Test (HVLT) | □ |
| Cognitive Adaptive Skills Evaluation | □ | Kitchen task (non-standardized) | □ |
| Cognitive Assessment of the Elderly (CASE/Pecpa-2r) | □ | Kitchen Task Assessment (KTA) | □ |
| Cognitive Assessment of Minnesota (CAM) | □ | Klein-Bell ADL Test | □ |
| Cognitive Assessment Screening Test (CAST) | □ | Kohlman Evaluation of Living Skills (KELS) | □ |
| Cognitive Performance Test (CPT) | □ | Leisure Satisfactory Questionnaire | □ |
| Cognitive Competency Test (CCT) | □ | Leisure Diagnostic Battery | □ |
| Cognitive Mode Questionnaire (CMQ) | □ | Limiting Long Standing Illness screen (LLSI) | □ |
| Colored ball sort (non-standardized) | □ | Line Bisection Test | □ |
| Comprehensive OT Evaluation (COTE) | □ | Loewenstein O.T. Cognitive Assessment (LOTCA) | □ |
| Contextual Memory Test (CMT) | □ | Loewenstein O.T. Cognitive Geriatric Assessment (LOTCA-G) | □ |
| D2 test of Attention | □ | Middlesex Elderly Assessment of Mental Status (MEAMS) | □ |
| Mini Mental Status Exam (MMSE)/Folstein | □ | Trail Making Test (TMT) | □ |
| Model of Human Occupation Screening (MOHOST) | □ | Test of Visual Perceptual Skills (Non-Motor)-Revised (TVPS(n-m)R) | □ |
| Montreal Cognitive Assessment (MoCA) | □ | Toglia Category Assessment | □ |
| Motor-Free Visual Perceptual Test (MVPT) | □ | Visual Field Tests: Bell's Scanning Test, Useful Field of Vision Test | □ |
| Modified Mini Mental Status Exam (3MS) | □ | Volitional Questionnaire | □ |
| Neurobehavioral Cognitive Status Examination (NCSE/Cognistat) | □ | Weschler Adult Intelligence Scale-III (WAIS-III) | □ |
| Occupational History | □ | Wisconsin Card Sorting Test version 4 (WCST-CV4) | □ |
| Occupational Role History | □ | Woodcock Johnson Test of Cognitive Ability | □ |
| Occupational Self-Assessment | □ | Word list (non-standardized) | □ |
| Ontario Society of O.T. Perceptual Assessment | □ | Work Environment Impact Scale | □ |
| Occupational Questionnaire | □ | Worker Role Inventory Worker Role Inventory | □ |
| Orientation Test for Aphasics | □ | Severe Impairment Battery (SIB) | □ |
| Other IADL tasks (e.g. medication mgmt., financial tasks) (non-standardized) | □ | Sorting shapes (non-standardized) | □ |
| Perceive Recall Plan Perform (PRPP) | □ | Stroke Unit Mental Status Exam (SUMSE) | □ |
| Performance Assessment of Self-Care Skills (PASS) | □ | Stroop test Stroop test Stroop test Stroop test | □ |
| Rancho Los Amigos (RLA) | □ | Structured Observational Test of Function (SOTOF) | □ |
| Rivermead Behavioral Memory Test (RMBT) | □ | Tests designed for acquired brain injury (SCATBI,NRS) | □ |
| Role Check List | □ | Test of Everyday Attention (TEA) | □ |
| Ross Information Processing Assessment – Geriatric (RIPA-G) | □ | Test for Severe Impairment (TSI) | □ |
| Routine Task Inventory Routine Task Inventory | □ | Test of Visual Motor Skills – Revised (TVMS-R) | □ |
| Safety Assessment of Function and the Environment for Rehabilitation (SAFER) | □ | OTHERS: Please list below) …………………………………………………….. | □ |
| Safety and Functional ADL Evaluation (SAFE) | □ | …………………………………………………… | □ |
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