F. Mode of transportation
1. Travels independently on public 1
transportation or drives own car
2. Arranges own travel via taxi, but does not 1
otherwise use public transportation
3. Travels on public transportation when 1
assisted or accompanied by another
4. Travel limited to taxi or automobile with 0
assistance of another
5. Does not travel at all 0
G. Responsibility for own medications
1. Is responsible for taking medication in 1
correct dosages at correct time
2. Takes responsibility if medication is 0
prepared in advance in separate dosages
3. Is not capable of dispensing own medication 0
H. Ability to handle finances
1. Manages financial matters independently 1
(budgets, writes checks, pays rent and bills,
goes to bank), collects and keeps track of
income
2. Manages day-to-day purchases, but needs 1
help with banking, major purchases, etc.
3. Incapable of handling money 0
(Lawton & Brody, 1969)
Scoring: The patient receives a score of 1 for each item labeled A – H if his or her competence is rated at some
minimal level or higher. Add the total points circled for A – H. The total score may range from 0 – 8. A lower score
indicates a higher level of dependence.
Sources:
• Cromwell DA, Eagar K, Poulos RG. The performance of instrumental activities of dai