Instructions
1. Observe this person while they are involved with a task such as getting dressed, eating, taking a bath or shower, resting, or visiting.
2. Ask YOURSELF the following questions. DO NOT ask the questions to the person you are observing.
3. The questions assume you are the care partner (that is, caregiver) assisting this person. (So you are observing while you assist.) If someone else is assisting instead, then the questions that refer to the role of a care partner should apply to whoever is providing the assistance while you observe.
4. Answer each question by selecting a response number from 1 - 4 (or a response of “Yes” or “No” in the Yes/No Response Format) that most closely matches your observations during the entire time of the task. Some questions ask about the daily routines that include the task. If you don’t know the answer to a question, then try using the intervention strategies identified for that question in the “CAIS Task and Daily Routines Intervention Strategies”. They can help you better understand the question. These intervention strategies suggest ways you can modify a task to make the task easier for this person, even if this person is able to perform the task well.
A response number of “3” or “4” (or a response of “Yes” in the Yes/No Response Format) suggests the task structure and routines may meet, or nearly meet the needs and desires of this person and accommodate this person’s cognitive strengths and needs with respect to this question.
A response number of “1” or “2” (or a response of “No” in the Yes/No Response Format) suggests the task structure and routines may not adequately support this person’s cognitive abilities or meet their needs. A response number of “1” or “2” (or a response of “No” in the Yes/No Response Format) directs you to the “CAIS Task and Daily Routines Intervention Strategies” where options of specific practical intervention strategies are identified for each question in this “CAIS Task and Daily Routines Questions to Ask- Four Point Response Format”(and in the Yes/No Response Format). These strategies suggest ways you can modify the task to help this person perform a task more easily and successfully, and feel more competent and comfortable.
KEY: 1 = Rarely or Never 2 = Sometimes 3 = Often 4 = Usually or Always