Short Form 12 item (version 2) Health Survey
Area of Assessment
Life ParticipationMental Health
Negative Affect
Pain
Positive Affect
Quality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
$150.00Rehabilitation Measure
Berg Balance Scale
Area of Assessment
Balance – Non-vestibularFunctional Mobility
Time
minutesAssessment Type
Performance Measurecost
FreeRehabilitation Measure
Functional Independence Measure
Area of Assessment
Activities of Daily LivingTime
minutesAssessment Type
Observercost
Not FreeRehabilitation Measure
Functional Gait Assessment
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Gait
Time
minutes , New Clinician: less than 20 minutesExperienced Clinician: 5-10 minutes
Assessment Type
Observercost
FreeRehabilitation Measure
Dynamic Gait Index
Area of Assessment
Balance – VestibularBalance – Non-vestibular
Functional Mobility
Gait
Time
minutes , May vary with patient's abilitiesAssessment Type
Observercost
FreeRehabilitation Measure
Tinetti Falls Efficacy Scale
Area of Assessment
Activities of Daily LivingBalance – Non-vestibular
Functional Mobility
Life Participation
Self-efficacy
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
10 Meter Walk Test
Area of Assessment
Functional MobilityGait
Vestibular
Time
minutes , Or lessAssessment Type
Performance Measurecost
FreeRehabilitation Measure
Timed Up and Go
Area of Assessment
Balance – Non-vestibularFunctional Mobility
Gait
Vestibular
Time
minutesAssessment Type
Observercost
FreeRehabilitation Measure
Beck Depression Inventory
Area of Assessment
DepressionTime
minutesAssessment Type
Patient Reported Outcomescost
$115.00Rehabilitation Measure
Geriatric Depression Scale
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure
Mini-Mental State Examination
Area of Assessment
Activities of Daily LivingCognition
Time
minutesAssessment Type
Observercost
Not FreeRehabilitation Measure
Barthel Index
Area of Assessment
Activities of Daily LivingFunctional Mobility
Gait
Time
minutes , Self-Report: 2-5 minutesDirect Observation: 20 minutes
Assessment Type
Performance Measurecost
FreeRehabilitation Measure