Lawton IADL Form English

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LAWTON - BRODY

INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE (I.A.D.L.)

Scoring: For each category, circle the item description that most closely resembles the patient’s highest
functional level (either 0 or 1).

A. Ability to Use Telephone E. Laundry


1. Operates telephone on own initiative- 1 1. Does personal laundry completely 1
looksup and dials numbers, etc. 2. Launders small items-rinses stockings, etc. 1
2. Dials a few well-known numbers 1 3. All laundry must be done by others 0
3. Answers telephone but does not dial 1
4. Does not use telephone at all 0
B. Shopping F. Mode of Transportation
1. Takes care of all shopping 1 1. Travels independently on public transportation 1
needsindependently ordrives own car
2. Shops independently for small purchases 0 2. Arranges own travel via taxi, but does 1
3. Needs to be accompanied on any 0 nototherwise use public transportation
shoppingtrip 3. Travels on public transportation 1
4. Completely unable to shop 0 whenaccompanied by another
4. Travel limited to taxi or automobile 0
withassistance of another
5. Does not travel at all 0
C. Food Preparation G. Responsibility for Own Medications
1. Plans, prepares and serves adequate 1 1. Is responsible for taking medication in 1
mealsindependently correctdosages at correct time
2. Prepares adequate meals if supplied 0 2. Takes responsibility if medication is prepared 0
withingredients inadvance in separate dosage
3. Heats, serves and prepares meals, or 0 3. Is not capable of dispensing own medication 0
prepares meals, or prepares meals but does
not maintain adequate diet
4. Needs to have meals prepared and served 0
D. Housekeeping H. Ability to Handle Finances
1. Maintains house alone or with 1 1. Manages financial matters 1
occasionalassistance (e.g. "heavy work independently(budgets, writes checks, pays rent,
domestic help") 1 bills, goes to bank), collects and keeps track of
2. Performs light daily tasks such as income 1
dishwashing, bed making 1 2. Manages day-to-day purchases, but needs
3. Performs light daily tasks but helpwith banking, major purchases, etc. 0
cannotmaintain acceptable level of 1 3. Incapable of handling money
cleanliness
4. Needs help with all home maintenancetasks 0
5. Does not participate in any housekeeping
tasks

Score Score
Total score__________________
A summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women
and 0 through 5 for men to avoid potential gender bias.

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