FIM Scoring Flashcards
Level 7 (Basic)
Independent (100%)
Level 6 (Basic)
Modified Independent (100%)
Level 5 (Basic)
Supervision/Set up (>90%)
Level 4 (Basic)
Min Assist or CGA (>75%)
Level 3 (Basic)
Moderate Assist (50-74%)
Level 2 (Basic)
Max Assist (25-49%)
Level 1 (Basic)
Total Assist (ex. 2 clinicians, W/C follow, or Hoyer/Mechanical Lift) (<25%)
Level 0 (Basic)
Activity Does not occur
Level 3 (Distance Walked/Navigated WC)
150 feet or greater
Level 2 (Distance Walked/Navigated WC)
50 to 149 feet
Level 1 (Distance Walked/Navigated WC)
Less than 50 feet
Level 0 (Distance Walked/Navigated WC)
If activity does not occur
Level 7 - Ambulation
Complete Independence (at least 150 feet)
Level 6 - Ambulation/WC Navigation
Modified Independent, with a device or safety concerns (at least 150 feet)
Level 5 - Ambulation/ WC Navigation
Supervision/SBA (At least 150 feet)
Level 4 - Ambulation/WC Navigation
Min Assist/CGA (At least 150 feet)
Level 3 - Ambulation/WC Navigation
Moderate Assist (at least 150 feet)
Level 2 - Ambulation/WC Navigation
Max Assist (or less than 150 feet)
Level 1 - Ambulation/WC Navigation
Total Assist, Two clinicians, or W/C follow (or less than 50 feet)
Level 4 (Sit to Supine)
Helping with one leg back onto bed/helping minimally with trunk
Level 3 (Sit to Supine)
Helping with both legs back onto bed/Helping trunk moderately
Level 2 (Sit to Supine)
Helping with both legs back onto bed and the Trunk
Level 1 (Sit to Supine)
Two therapist assist; Using Mechanical lift device back to bed; Could be one therapist with both legs and trunk, but person doing less that 25% of the work
