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QUESTIONÁRIO DE ATIVIDADES FUNCIONAIS (PFEFFER)

1) Ele (Ela) manuseia seu próprio dinheiro?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

2) Ele (Ela) é capaz de comprar roupas, comida, coisas para casa sozinho(a)?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

3) Ele (Ela) é capaz de esquentar a água para o café e apagar o fogo?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

4) Ele (Ela) é capaz de preparar uma comida?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

5) Ele (Ela) é capaz de manter-se em dia com as atualidades, com os acontecimentos da comunidade ou da vizinhança?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

6) Ele (Ela) é capaz de prestar atenção, entender e discutir um programa de rádio ou televisão, um jornal ou uma revista?

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

7) Ele (Ela) é capaz de lembrar-se de compromissos, acontecimentos familiares, feriados? 0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

9) Ele (Ela) é capaz de passear pela vizinhança e encontrar o caminho de volta para casa? 0= Normal 0= Nunca o fez, mas poderia fazê-lo agora 1= Faz, com dificuldade 1= Nunca o fez e agora teria dificuldade 2= Necessita de ajuda

3= Não é capaz

10) Ele (Ela) pode ser deixado(a) em casa sozinho(a) de forma segura?

0= Normal 0= Nunca ficou, mas poderia ficar agora 1= Sim, mas com precauções 1= Nunca ficou e agora teria dificuldade 2= Sim, por períodos curtos

3= Não poderia

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