IDEAS - Indian Disability Evaluation and Assessment Scale

1

Unique Number* This field is required.

2

Email* This field is required.

example@example.com

3

Self care concerns* This field is required.

Personal hygiene issues

Poor care about physical health

Eating habit issues

Issues with responsibility, orderliness and cleanliness

4

Self care scoring* This field is required.

No disability

Mild disability

Moderate disability

Severe disability

Profound disability

5

Interpersonal activity concerns* This field is required.

Rude

Verbally aggressive

Physically aggressive

Irritable

Discomfort with strangers

Challenges in maintaining relationships

Lack of empathy

6

Interpersonal activities scoring* This field is required.

No disability

Mild disability

Moderate disability

Severe disability

Profound disability

7

Communication and understanding concerns* This field is required.

Poor social interaction

Avoidance of social interaction

Lack of reading and writing

Unable to understand others body language

8

Communication and understanding scoring* This field is required.

No disability

Mild disability

Moderate disability

Severe disability

Profound disability

9

Work concerns* This field is required.

Poor social interaction

Avoidance of social interaction

Lack of reading and writing

Unable to understand others body language

10

Work scoring* This field is required.

No disability

Mild disability

Moderate disability

Severe disability

Profound disability

11

Duration of illness (MI2Y - Months of illness in the last 2 years)* This field is required.

Less than 2 years

2 - 5 years

6 - 10 years

Greater than 10 years

12

Total Score* This field is required.

13

Impression* This field is required.