Table 1 The Functioning Assessment Short Test for Older adults (FAST-O)
To what extent is the patient experiencing difficulties in the following aspects? | |||||
|---|---|---|---|---|---|
No difficulty | Mild difficulty | Moderate difficulty | Severe difficulty | ||
Autonomy | |||||
1 | Taking responsibility for a household | 0 | 1 | 2 | 3 |
2 | Living on your own | 0 | 1 | 2 | 3 |
3 | Doing the shopping | 0 | 1 | 2 | 3 |
4 | Taking care of yourself (physical aspects, hygiene) | 0 | 1 | 2 | 3 |
Societal functioning | |||||
5 | Maintaining meaningful daily activities | 0 | 1 | 2 | 3 |
6 | Accomplishing tasks as quickly as necessary | 0 | 1 | 2 | 3 |
7 | Working (in a paid or voluntary job), including taking care of grandchildren and informal care | 0 | 1 | 2 | 3 |
8 | Income (occupational earnings or income from retirement) | 0 | 1 | 2 | 3 |
9 | Managing the expected work load or other tasks | 0 | 1 | 2 | 3 |
Cognitive functioning | |||||
10 | Ability to concentrate on a book, film | 0 | 1 | 2 | 3 |
11 | Ability to make mental calculations | 0 | 1 | 2 | 3 |
12 | Ability to solve a problem adequately | 0 | 1 | 2 | 3 |
13 | Ability to remember newly-learned names | 0 | 1 | 2 | 3 |
14 | Ability to learn new information | 0 | 1 | 2 | 3 |
Financial issues | 0 | 1 | 2 | 3 | |
15 | Managing your own money | 0 | 1 | 2 | 3 |
16 | Spending money in a balanced way | 0 | 1 | 2 | 3 |
Interpersonal relationships | |||||
17 | Maintaining a friendship or friendships | 0 | 1 | 2 | 3 |
18 | Participating in social activities | 0 | 1 | 2 | 3 |
19 | Having good relationships with people close to you | 0 | 1 | 2 | 3 |
20 | Living together with your family | 0 | 1 | 2 | 3 |
21 | Having satisfactory sexual relationships | 0 | 1 | 2 | 3 |
22 | Being able to defend your interests | 0 | 1 | 2 | 3 |
Leisure time | |||||
23 | Doing exercise or participating in sport | 0 | 1 | 2 | 3 |
24 | Having hobbies or personal interests | 0 | 1 | 2 | 3 |