Assessment Tool: FIM

The Functional Independence Measure evaluates burden of care across 18 motor and cognitive items. For educational purposes only; clinical use requires UDSMR licensing.

Functional Independence Measure (FIM)

18-item motor and cognitive functional assessment scored 18–126. Each item is rated on a 7-point scale from total assistance to complete independence.

The FIM instrument is a trademark of the Uniform Data System for Medical Rehabilitation (UDSMR). Clinical and research use requires a license. This interface is for educational purposes only.

Rating scale reference

7 Complete independence | 6 Modified independence (device)

5 Supervision/setup | 4 Minimal assist (≥ 75%)

3 Moderate assist (50–74%) | 2 Maximal assist (25–49%) | 1 Total assist (< 25%)

Self-Care

Eating

7 – Complete independence (timely, safely) 6 – Modified independence (device) 5 – Supervision or setup 4 – Minimal assist (patient ≥ 75%) 3 – Moderate assist (patient 50–74%) 2 – Maximal assist (patient 25–49%) 1 – Total assist (patient < 25%)

Grooming

Bathing

Dressing – Upper Body

Dressing – Lower Body

Toileting

Sphincter Control

Bladder Management

Bowel Management

Transfers

Bed, Chair, Wheelchair

Toilet

Tub or Shower

Locomotion

Walk / Wheelchair

Stairs

Communication

Comprehension

Expression

Social Cognition

Social Interaction

Problem Solving

Memory

Result

Total FIM: 0/126

Minimum score is 18 (total assistance in all items). Domain sub-scores guide targeted rehabilitation planning.