KATZ-ADL-6PT (88)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT KATZ-ADL-6PT
LAST UPDATE 2022-04-08 09:09:13
ENTRY CHECKSUM 3492994842
ENTRY SPECIFICATION
{"name": "KATZ-ADL-6PT", 
   {"id": "q7059", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "1. BATHING", 
    "intro": "Score activities on level of independence: <br /><br />INDEPENDENCE: NO
 supervision, direction or personal assistance (1 POINT) <br />DEPENDENCE: WITH
 supervision, direction, personal assistance or total care (0 POINTS)", 
    "columns": 1, 
    "choices":[
     {"id": "c3358", "text": "1. Bathes self completely or needs help in bathing only a single part of the body
 such as the back, genital area or disabled extremity. (1 pt)", "quickKey": 1}, 
     {"id": "c3359", "text": "2. Needs help with bathing more than one part of the body, getting in or out of
 "restartDays": 2, 
 the tub or shower. Requires total bathing. (0 pt)", "quickKey": 2}
   ]}, 
   {"id": "q7060", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "2. DRESSING", 
    "columns": 1, 
    "choices":[
     {"id": "c3363", "text": "1. Gets clothes from closets and drawers and puts on clothes and outer garments
 complete with fasteners. May have help tying shoes. (1 pt)", "quickKey": 1}, 
     {"id": "c3362", "text": "2. Needs help with dressing self or needs to be completely dressed. (0 pt)", "quickKey": 2}
   ]}, 
 "printTitle": "Modified Katz Index of ADLs",
   {"id": "q7061", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "3. TOILETING", 
    "columns": 1, 
    "choices":[
     {"id": "c3376", "text": "1. Goes to toilet, gets on and off, arranges clothes, cleans genital area without
 help. (1 pt)", "quickKey": 1}, 
     {"id": "c3377", "text": "2. Needs help transferring to the toilet, cleaning self or uses bedpan or
 commode. (0 pt)", "quickKey": 2}
   ]}, 
   {"id": "q7062", "type": "ChoiceQuestion", "required": false, "inline": false, 
 "content":[
    "text": "4. TRANSFER", 
    "columns": 1, 
    "choices":[
     {"id": "c3367", "text": "1. Moves in and out of bed or chair unassisted. Mechanical transferring aides are
 acceptable. (1 pt)", "quickKey": 1}, 
     {"id": "c3368", "text": "2. Needs help in moving from bed to chair or requires a complete transfer. (0 pt)", "quickKey": 2}
   ]}, 
   {"id": "q7063", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5. CONTINENCE", 
    "columns": 1, 
   {"id": "i2346", "type": "IntroText", 
    "choices":[
     {"id": "c3372", "text": "1. Exercises complete self control over urination and defecation. (1 pt)", "quickKey": 1}, 
     {"id": "c3379", "text": "2. Is partially or totally incontinent of bowel or bladder. (0 pt)", "quickKey": 2}
   ]}, 
   {"id": "q7064", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6. FEEDING", 
    "columns": 1, 
    "choices":[
     {"id": "c3375", "text": "1. Gets food from plate into mouth without help. Preparation of food may be done
 by another person. (1 pt)", "quickKey": 1}, 
    "text": "Score activities on level of independence: <br /><br />INDEPENDENCE: NO
     {"id": "c3373", "text": "2. Needs partial or total help with feeding or requires parenteral feeding. (0
 pt)", "quickKey": 2}
   ]}]
}
 supervision, direction or personal assistance (1 POINT) <br />DEPENDENCE: WITH
 supervision, direction, personal assistance or total care (0 POINTS)"
    },