Personal Care Support (ADLs) Readiness & Fit Assessment
This scored assessment helps gauge what level of personal care support (Activities of Daily Living—ADLs) may be a fit right now. Choose the option that best matches your current situation. Scores reflect increasing need/urgency for hands-on personal care support.
/10
How often do you need help with personal hygiene tasks (e.g., bathing, showering, grooming)?
I’m fully independent.
I need occasional reminders or setup (e.g., towels, supplies).
I need hands-on help some days.
I need hands-on help most days or every time.
/10
How safely can you transfer (e.g., bed to chair, toilet transfers) right now?
I transfer safely without assistance.
I’m mostly safe but benefit from standby support.
I need hands-on assistance for some transfers.
I require hands-on assistance for most transfers or feel unsafe transferring.
/10
How much help do you need with toileting (getting to/from toilet, clothing management, hygiene)?
No help needed.
Occasional help or reminders.
Regular hands-on help (some or most steps).
Full assistance needed for toileting tasks.
/10
How much assistance do you need with dressing (including footwear, fasteners, or adaptive clothing)?
No assistance needed.
I need extra time or minor help (e.g., buttons, socks).
I need hands-on help for upper or lower body dressing.
I need full assistance for dressing most days.
/10
How well are you able to eat and drink safely (including meal setup and feeding)?
I eat and drink independently.
I need help with setup (opening containers, cutting food).
I need hands-on help for part of the meal.
I need feeding assistance or close supervision most meals.
/10
How would you describe your mobility inside the home?
I move around independently without difficulty.
I’m independent but slower or use a mobility aid.
I need standby or hands-on help to walk safely.
I’m at high risk of falls or need significant assistance to move around.
/10
How often do you experience falls or near-falls?
Never or rarely.
Occasionally (e.g., once in the past few months).
More than once in the past month, or frequent near-falls.
Frequent falls/near-falls or a recent serious fall.
/10
How much support do you need with continence care (e.g., managing incontinence products, skin care)?
No support needed.
Occasional help or reminders.
Regular hands-on help or monitoring needed.
Full assistance needed, including routine skin care and frequent changes.
/10
How well are personal care routines being completed consistently (without skipping due to fatigue, pain, or stress)?
Consistently completed without difficulty.
Sometimes skipped or delayed.
Often skipped/delayed; I struggle to keep up.
Rarely completed without help; my health/safety is affected.
/10
How much support do your family or informal caregivers currently provide for ADLs?
No support needed from others.
Some help is available and usually sufficient.
Help is available but inconsistent or causing strain.
There is little/no help available, or caregiver burnout is significant.
Low Need for Personal Care Support
You’re largely independent with ADLs. If you want support, it may be most helpful for light assistance (setup, occasional check-ins, safety-focused routines) or short-term support after illness/injury.
Moderate Need for Personal Care Support
You may benefit from scheduled personal care support for specific ADLs (e.g., bathing, dressing, toileting, transfers) and fall-risk reduction. Consider a regular care plan and reassessment as needs change.
High Need for Personal Care Support
Your responses suggest frequent hands-on assistance may be needed to support safety, dignity, and consistent completion of ADLs. Consider a comprehensive personal care plan with regular visits and coordination with healthcare providers if applicable.