The home living activities subscale measures your personal support needs for the following home living activities:
# | Home living activities | Type of support | Frequency of support | Daily support time | Raw score | ||||||||||||
A1 | Operating home appliances/electronics | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
A2 | Bathing and taking care of personal hygiene and grooming needs | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | * | 0 | 1 | 2 | 3 | 4 | |
A3 | Using the toilet | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
A4 | Dressing | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
A5 | Preparing food | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | * | 0 | 1 | 2 | 3 | 4 | |
A6 | Eating food | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
A7 | Taking care of clothes, including laundering | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
A8 | Housekeeping and cleaning | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | * | * | |
A9 | Using currently prescribed equipment or treatment | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
Total raw score for home living activities: | |||||||||||||||||
* = Score is not an option per AAIDD. Note: Question A9 is a question added by DDA. It is for informational purposes only and is not used to calculate scores or levels for service determination. |
Wash. Admin. Code § 388-828-4200
Statutory Authority: RCW 71A.12.030 and Title 71A RCW. 07-10-029, § 388-828-4200, filed 4/23/07, effective 6/1/07.