Functional Ability Scale (FAbS): Cognitive Orientation

A seven-point rating scale ranging from the least functional (Level 1) to independent (Level 7) to describe a patient's abilities over the course of intervention.

Related Major Focus Areas

Scoring Rubric

7 - Independent Functional and independent with developmental-level tasks for initiation and attention regardless of distraction. If needed, uses compensatory strategies independently. General cognitive responses are appropriate for chronological age in all situations.
6 - Minor Begins and attends to tasks, but has difficulty with abstract concepts or when distracted. Requires help and cues to use compensatory strategies. Is oriented to self and environment. Can carry over new material/information in everyday activities. Self-monitors and corrects. Can solve problems with limited number of steps.
5 - Mild Responsiveness is functional for simple living activities. Requires occasional cues to start, continue, change, and divide attention during routine activities. Is aware of self and family members, sometimes aware of environment. Needs help to be safe. There is evidence of new learning and recall during everyday activities. Inconsistent and delayed ability to self-monitor is noted. Social and family interactions and communication continue to be significantly affected.
4 - Moderate Cues are sometimes needed to begin very familiar and simple activities, and always needed to begin more difficult activities. Is aware of self and sometimes oriented to family members. Difficulty attending to tasks is noted, supervision for safety is therefore required. Follows simple directions. Recalls routine tasks incorrectly or inconsistently. Can solve simple, concrete problems but sometimes needs a cue. Is beginning to request assistance when needed. Behavior problems may be evident.
3 - Severe Responds purposefully to people in situations that are familiar. Requires cues to perform and is slow to respond. Minimal to no recall or awareness of environment/orientation is noted. All social interactions are significantly affected. Does not request assistance when needed.
2 - Major Sometimes responds to sensation. May respond more when family/friends are present. Occasionally alert to familiar daily routines. Unaware of problems with communication, orientation, motor activities, etc.
1 - Profund Minimal or questionable purposeful response to sensory input (vision, hearing, taste, smell, touch). No measurable play/cognitive abilities. May have periods of arousal with no responses to environment.