Discussion and Conclusions—A global rating scale using meaningful and context-specific questions was used to determine the relationship between measured and participant-perceived change in 6MWT distance. A meaningful difference in 6MWT change was observed between participants who did and those who did not perceive improvement. Individuals with lower baseline scores may require larger changes in walking distance to perceive that a change has occurred. This study contributes to a growing body of evidence about the relationships between perceived and measured change in function, and is a step in determining thresholds for perceived change in walking after stroke.