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The FIM score is divided into 7 levels, with levels 6 and 7 being independent, and levels 5, 4, 3, 2, and 1 indicating varying degrees of dependence:
Independent: No assistance needed during activities
7 points -- Completely Independent: Can safely complete all required actions within a reasonable time without any tools or assistance.
6 points -- Conditionally Independent: Completing actions requires one or more of the following conditions: help from general tools; extra time needed to complete actions; consideration of safety factors while completing tasks.
Dependent: Requires supervision or assistance to complete actions.
5 points -- Supervised or Assisted: Needs assistance from others for guidance, prompts, persuasion, or help with preparation for the assessed activities, or help using orthotic devices or tools, but does not require physical contact. For example: cutting food for the patient, spreading jam on bread, opening container lids, preparing water and towels for washing up, etc.
4 points -- Minimal Contact Assistance: The patient exerts over 75% of total effort, needing only minimal physical contact assistance from others.
3 points -- Moderate Assistance: The patient exerts 50% to 75% of total effort, requiring significant direct assistance from others.
Completely Dependent: The patient exerts less than 50% of total effort and requires maximum or complete assistance to complete activities.
Divided by levels of assistance:
2 points -- Maximum Assistance: The patient exerts less than half of the total effort but more than 25%.
1 point -- Complete Assistance: The patient exerts less than 25% of their own effort.
Total score is 126 points, with a minimum of 18 points.
126 points Completely Independent
108–125 points Basically Independent
90–107 points Conditionally Independent
72–89 points Mild Dependence
54–71 points Moderate Dependence
36–53 points Severe Dependence
19–35 points Extremely Severe Dependence
18 points Completely Dependent
FIM, Functional Independence Measure
