Elderly Mobility Scale
Bed Mobility (0-3)
Select...
0 - Unable
1 - Needs assistance
2 - Independent with device
3 - Independent
Please select a value.
Transfers (0-3)
Select...
0 - Unable
1 - Needs assistance
2 - Independent with device
3 - Independent
Please select a value.
Walking (0-3)
Select...
0 - Unable
1 - Needs assistance
2 - Independent with device
3 - Independent
Please select a value.
Stairs (0-3)
Select...
0 - Unable
1 - Needs assistance
2 - Independent with device
3 - Independent
Please select a value.
Static Balance (0-3)
Select...
0 - Unable
1 - Needs support
2 - Independent but unsteady
3 - Steady
Please select a value.
Endurance (0-2)
Select...
0 - Unable to walk 50m
1 - Walks 50-200m
2 - Walks >200m
Please select a value.
Gait Speed (0-3)
Select...
0 - <0.4 m/s
1 - 0.4-0.6 m/s
2 - 0.6-1.0 m/s
3 - >1.0 m/s
Please select a value.
Calculate Score
Total Score:
0
/20
Breakdown