Performance Assessment to Asses

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The 48 questions below measure six performance behaviors, plus the three factors that directly effect each. Each subsection defines these behaviors and those factors involved.

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PHYSICAL

MOVEMENT AND EATING PATTERNS IN THE PAST 90 DAYS

Numerical value $25 increments.
Examples include lifting ___, bending ___, twisting ___, sitting for ___ minutes/hours. If none then type 'N/A'.

OCCUPATIONAL

PERSONAL SATISFACTION AND ENRICHMENT THROUGH WORK IN THE PAST 90 DAYS

Numeric value by $25 increments.

INTELLECTUAL

CREATIVE, STIMULATING, THINKING ACTIVITIES IN THE PAST 90 DAYS

If no other things then type 'N/A' in this box.

SPIRITUAL

MEANING & PURPOSE IN HUMAN EXISTENCE IN THE PAST 90 DAYS

SOCIAL

YOUR CONTRIBUTION TO THE ENVIRONMENT AND COMMUNITY WHERE YOU WORK IN THE PAST 90 DAYS

If no other contributors then type 'N/A' in this box.

EMOTIONAL

YOUR AWARENESS AND ACCEPTANCE OF FEELINGS IN THE PAST 90 DAYS

If no other contributors then type 'N/A' in this box.

CONTEXT

YOU RELATING TO THE DESIGN OF PRODUCTS, PLACES, THINGS IN THE PAST 90 DAYS

___

Context is described as a lens from which you view their world. Examples of elements your lens may focus on include: cultural differences, moral challenges, seasonal changes, or virtual communication.

OCCUPATION

YOU RELATING TO THE DESIGN OF YOUR ROLES, VALUES, HABITS IN THE PAST 90 DAYS

__

'Occupations' are activities done on a daily basis that you value and find meaningful. Activities involve Self-Care, Care for Others, Sleep, Work, Leisure, Education, Play, and Social Activities.

SENSE

YOU RELATING TO THE DESIGN OF BEHAVIOR, EMOTION, ATTENTION IN THE PAST 90 DAYS

__

Sensory is the stimulus- or 'thing' that attracts your senses (smell, hearing, touch, taste, desire for movement, desire to force body - limbs, jaw, joints - pressure).
If unaffected to smells, sounds, activity/movement, lighting, etc then type 'N/A' in this box.

WORK GOALS