Skip to Main Content

Appendix 3: Sample Data Set

INTRODUCTION

|Download (.pdf)|Print

Subject ID

Age (yrs)

Clinical Setting

Sex

Dx

# Impairment Goals

# Functional Goals

# Social Goals

Total Goals

# Measurable Impairment Goals

# Measurable Functional Goals

# Measurable Social Goals

01

18

1

1

719.42

2

2

1

5

2

1

0

02

40

2

2

719.42

2

4

1

7

2

1

1

03

47

3

1

719.42

5

1

1

7

4

0

1

04

37

3

2

719.42

3

2

2

7

3

2

1

05

22

1

1

719.42

1

2

1

4

1

1

0

06

53

2

1

719.42

4

2

2

8

2

1

0

07

45

3

2

719.42

4

3

0

7

4

2

0

08

69

2

1

719.42

0

4

0

4

0

1

0

09

48

1

1

719.42

2

4

1

7

1

1

1

10

16

3

2

719.42

3

1

2

6

1

2

1

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

This site uses cookies to provide, maintain and improve your experience. MH Privacy Center Close