Functional Independence Measure (FIM) Scale
Nombre y Apellido: ……………………………………………………………………………………….
Run :……………………………..
Total FIM Domain Categories Score
Self-care
1. Food
Personal arrangement
3. Bathroom
4. Upper half dress
5. Dress lower half body
Motor Perineal hygiene
Sphincter control
91 points 7. Bladder control
8. Intestinal control
Mobility
126 9. Transfer from bed to chair or wheelchair
10. Transfer to the bathroom
points
11. Transfer in bathtub or shower
Ambulation
12. Walk/move in a wheelchair
13. Going up and down stairs
Communication
14. Understanding
Cognitive
15. Expression
35 points Social knowledge
16. Social interaction
17. Problem solving
18. Memory
Total
Each item will be scored from 1 to 7 as follows
Degree of dependence Level of functionality
Complete independence
Without help 6. Modified independence
5. Supervision
Modified dependence 4. Minimum assistance (greater than 75% independence)
3. Moderate assistance (greater than 50% independence)
2. Maximum assistance (greater than 25% independence)
Complete dependence Total assistance (less than 25% independence)
Hemibody: each of the two parts into which the body is divided; it can be upper, lower; right and left.
Perineal: pelvis