Document ID: chunk:federal_register_of_legislation:F2020C00834:front:0:p11
Version: federal_register_of_legislation:F2020C00834
Segment Type: other
Provision Reference: 
Character Range: 30775–34118

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Yes    Go to question 37 (domain D)

Instructions for domain C

Please read this before answering the following questions

Questions 22 to 36 ask you to rate the child's ability to perform a number of different tasks.  You must answer all of these questions.

For each question, select the response that best describes the child's ability.  Please base your responses on what the child does when using any aids, appliances or home modifications that assist with the care of the child.

If the child has a condition that changes from day to day, please base your answers on the child's usual ability i.e. what the child is able to do most of the time.  Help includes supervision, prompting, reminding or training required as well as physical help.
The child's age will be taken into account when assessing your responses.

    Domain C – Functional abilities – subdomain 1

     Question 22

Does the child feed themself once food is prepared?
The child feeds themself with no help (e.g. the child needs no help from me)                                                                                                                                                               
The child needs a little help (e.g. prompting, reminding or a small amount of physical help)                                                                                                                                               
The child needs a lot of help (e.g. a lot of physical help)                                                                                                                                                                                
The child is completely dependent on me to feed him/her (e.g. I have to hold the child's bottle, spoon feed the child or feed the child through a naso‑gastric feeding tube, gastrostomy or Percutaneous Endoscopic Gastrostomy (P.E.G.))  

     Question 23

Does the child do everyday grooming tasks (e.g. brush teeth, brush/comb hair, wash and rinse hands and face)?
The child grooms themself with no help (e.g. the child needs no help from me)                                  
The child needs a little help (e.g. prompting, reminding or a small amount of physical help)                   
The child needs a lot of help (e.g. a lot of physical help)                                                    
The child is completely dependent on me to do their grooming                                                   

     Question 24

Does the child wash themself from the neck down (except for their back) in the bath, shower or sponge/bed bath?
The child washes themself with no help (e.g. the child needs no help from me)                                    
The child needs a little help (e.g. prompting, reminding or a small amount of physical help)                     
The child needs a lot of help (e.g. a lot of physical help)                                                      
The child is completely dependent and needs me to wash them                                                      

     Question 25

Does the child dress themself from the waist up (e.g. putting on singlets, t‑shirts, jumpers, jackets)?
The child dresses themself from the waist up with no help (e.g. the child needs no help from me)         
The child needs a little