ADL Checklist that can be completed as an informal measure for qualitative data collection. Completed by clinician, team member, individual or family member.Includes basic skills for feeding, dressing, self-care, showering/bathing, toothbrushing, and toileting.Uses a 5-point likert scale with a N/A option and comment section to rate assist level and includes a designated space for adaptive equipment, positioning required, allergies, materials used, etc.