Welcome to the Online Functional Assessment Questionnaire. The aim of this questionnaire is to measure function in a range of activities of daily living.
Areas include recreational activities, relationships, hobbies, travel, education and employment. The results will be sent to your referrer, and will be considered with other information. Please answer all questions to the best of your ability, as the questionnaire cannot be sent unless completed.
If you have any concerns, you can enter these into the last section of the questionnaire, or discuss them with the referrer.