The 12 FAM items include swallowing, car transfer, community access, reading, writing, speech intelligibility, emotional status, adjustment to limitations, employability, orientation, attention, and safety judgement. Each item is rated using the same 7-point scale used on the FIM. Like the FIM, the FIM+FAM also consists of two subscales, one representing physical or motor functioning and one representing cognitive/psychosocial function. The total score for the FIM+FAM is 210, 112 for the motor FIM+FAM and 98 for the cognitive subscale (Gurka et al. 1999). Higher scores signify greater independence.