This is a simple checklist that's mainly used for older adults to assess whether they can perform ADLs independently. It comprises a score from 0 to 6. Activities that can be done alone are scored 1, whereas activities that required supervision, direction, or assistance are scored 0. A high score indicates a greater degree of independence.

This is a series of self-assessment checklists for nursing home staff to use to assess processes related to activities of daily living (ADL) decline in the facility, in order to identify areas that need improvement. These checklists focus on issues primarily related to the “late-loss” ADLs of transfers, toilet-use, bed mobility and eating.

This tool helps determine which ADLs and IADLs their loved ones require assistance with and how much assistance is needed. To complete the checklist, mark one of the four categories for each of the activities listed in the left hand column. Each category indicates how much assistance your loved one needs for that activity.

Creating an ADL Checklist involves outlining essential daily tasks like personal hygiene, dressing, eating, and mobility. Consider using templates available online or consulting healthcare professionals for guidance.