Assessment Resources
AOF-CV

The AOF-CV is a screening tool designed to collect a broad range of information believed to influence and indicative of a person's occupational performance and to identify areas needing more in-depth evaluation.

Modified Interest Checklist

Assessment of Occupational Functioning Modified Interest Checklist: The Modified Interest Checklist gathers information on a client's strength of interest and engagement in 68 activities in the past, currently, and in the future. The main focus is on leisure interests that influence activity choices. The checklist can be used by adolescents or adults.

Modified Interest Checklist - Diverse Learners

Based on the Modified Interest Checklist, this revised version was made to meet the needs of diverse learners and readers in a community mental health setting.

Modified Interest Checklist - UK

The UK Modified Interest Checklist gathers information on a client's strength of interest and engagement in 74 activities in the past, present and future. Interests are listed in nine categories that focus on different types of activity choices. The checklist can be used by adolescents or adults. Please email David Heasman with any inquiries.

MOHOST Self-Assessment

The MOHOST Self-Assessment (MOHOST-SA) was originally designed by an occupational therapist in the UK who was adept at using the MOHOST to provide feedback to her clients regarding their progress. Some of her clients were interested in evaluating their own progress and so she worked with them to adapt the MOHOST Single Observation Form (MOHOST-SOF). After a while, it was realized that other occupational therapists were starting to offer the MOHOST-SA to their clients, because it provided a useful tool:

  • for clients to feedback to occupational therapists about their occupational participation;
  • for clients to increase their awareness about how others perceived them;
  • for clients and occupational therapists to discuss any differences in perception regarding their occupational participation.

The MOHOST-SA is considered to be particularly useful in secure settings, when occupational therapists are already providing detailed feedback using the MOHOST, and are working with their clients to enhance self-awareness and encourage greater autonomy.

NIH Activity Record (ACTRE)

The NIH Activity Record documents an individual's participation in occupations by half- hour intervals throughout the day. Users categorize the activity and record pain, fatigue, level of difficulty, perception of competence, value, and enjoyment for each activity. The questionnaire can be used by adolescents or adults. Email Bonnie Hodsdon to request a copy of the NIH Activity at hodsdonb@cc.nih.gov.

Occupational Questionnaire

The Occupational Questionnaire documents an individual's participation in occupations by half-hour intervals throughout the day. This is a shortened version of the NIH Activity record. Users classify the activity as work, play, or leisure, and record their perception of competence, value, and enjoyment for each activity. The questionnaire can be used by adolescents or adults.

Occupational Therapy Priority Checklist

The OT Priority Checklist has been developed by clinicians in the UK and is designed to be completed in discussion with the wider multi disciplinary team at the point of referral. It has proved to be a useful a starting point for screening referrals to occupational therapy and introducing the framework of the Model of Human Occupation, paving the way for more in-depth assessment of occupational function.

 

OSA-Daily Living Scale

The OSA-Daily Living Scale gathers self-reported data on the performance and importance of 12 ADL and IADL items using the same prompts as the OS.

Pediatric Interest Profiles

Clients answer questions about their interest and participation in a variety of play and leisure activities. Three activity scales, the Kid Play Profile, The Preteen Play Profile, and the Adolescent Leisure Interest Profile, make this self-report/interview profile appropriate for clients ages 6-21.

Social Distancing Interest Checklist

The Social Distancing Interest Checklist is modified from the original Heasman & Brewer 2008 version of the Interest Checklist. This version of the Interest Checklist gathers information on a client's degree of interest and level of participation in 70 activities in the past, present, and future. The main focus is on leisure interests that influence social distanced activity choices. For any questions, feel free to contact Debbie Mace at stophappy@outlook.com.

Executive Function Performance Test (EFPT)

The EFPT is a public domain instrument that you may use without a fee. All we ask is that if you download this information, you send an email to Dr. M. Carolyn Baum at baumc@wustl.edu to indicate that you have downloaded it. Materials include: training manual, labels and check template you will need to personalize the assessment to your individual clients. 

Childrens Kitchen Task Assessment (CKTA)

The CKTA is a public domain instrument that you may use without a fee. The CKTA seeks to assess executive function (initiation, sequencing, safety judgment, organization, working memory) in children 8-12 through the child’s performance of the novel task, making play dough.

Materials include: photographs, recipe instructions, list of items for the kit, and scoring forms. You will need to compile the kit before beginning. It is important for the tools in the kit to closely match the photographs. If you are unable to closely match, then you can take a photograph and replace the kit photograph with yours.

Because delivering the cues is a skill that takes practice and influences the scoring of the child’s performance, it is recommended that you practice by videotaping and scoring with another professional for at least 90% inter-rater reliability before using the CKTA with your target population, ages 8-12.

Performance Assessment of Self-care Skills (PASS)

PASS is a valid and reliable tool designed to measure occupational performance of daily life tasks. The PASS is a client-centered, performance-based, criterion-reference, observational tool that assists occupational therapy practitioners to objectively document occupational performance and plan occupation-based interventions for adolescent, adult, and older adult populations in a variety of settings.

The PASS consists of 26 core tasks, categorized in four domains. The PASS includes 5 functional mobility (FM) tasks, 3 basic activities of daily living (BADL) tasks, 4 instrumental activities of daily living (IADL) tasks with a physical emphasis, and 14 IADL tasks with a cognitive emphasis.

More Resources

Note: NOTA has no financial relationship with any assessment providers and does not endorse any specific assessment as relevant to your practice. These are listed as a resource to you to consider in your setting.