This template designed for an "Occupational Journey" that you can adapt for personal or professional development

<aside> 💡

• Be as honest and open as possible in your responses.
• This information will be kept confidential.
• This questionnaire is a starting point for your occupational therapy. </aside>

Disclaimer: This questionnaire is for informational purposes only and does not constitute medical or professional advice. Please consult with a qualified occupational therapist for any concerns.

This questionnaire can be adapted and expanded upon based on the specific needs of the individual.

Remember:

• Occupational therapy is a collaborative process.
• Your input and feedback are valuable throughout the evaluation and treatment process.

Daily Living Activities

Activities of Daily Living (ADLs)

Bathing/Showering: Can you independently bathe/shower? Do you experience any difficulties (e.g., balance, reaching, transferring)?

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