Katz Index of Independence in Activities of

Daily Living
Activities Independence Dependence
Points (1 or 0) (1 Point) (0 Points)
NO supervision, direction WITH supervision,
or personal assistance direction, personal
assistance or total care
BATHING (1 POINT) Bathes self (0 POINTS) Need help with
Points: __________ completely or needs help bathing more than one
in bathing only a single part of the body, getting
part of the body such as in or out of the tub or
the back, genital area or shower. Requires total
disabled extremity bathing
DRESSING (1 POINT) Get clothes (0 POINTS) Needs help
Points: __________ from closets and drawers with dressing self or
and puts on clothes and needs to be completely
outer garments complete dressed.
with fasteners. May have
help tying shoes.
TOILETING (1 POINT) Goes to toilet, (0 POINTS) Needs help
Points: __________ gets on and off, arranges transferring to the toilet,
clothes, cleans genital cleaning self or uses
area without help. bedpan or commode.

TRANSFERRING (1 POINT) Moves in and (0 POINTS)Needs help in

Points: __________ out of bed or chair moving from bed to chair
unassisted. Mechanical or requires a complete
transfer aids are transfer.
acceptable
CONTINENCE (1 POINT) Exercises (0 POINTS) Is partially or
Points: __________ complete self control over totally incontinent of
urination and defecation. bowel or bladder

FEEDING (1 POINT) Gets food from (0 POINTS) Needs partial

Points: __________ plate into mouth without or total help with feeding
help. Preparation of food or requires parenteral
may be done by another feeding.
person.
Katz Index of Independence in Activities of Daily Living
Activities
Points (1 or 0)
Independence
(1 Point)
NO supervision, direction or personal assistance
Dependence
(0 Points)
WITH supervision, direction, personal assistance or total care
BATHING
Points: __________
(1 POINT) Bathes self completely or needs help in bathing only a single part of the body
such as the back, genital area or disabled extremity
(0 POINTS) Need help with bathing more than one part of the body, getting in or out of
the tub or shower. Requires total bathing
DRESSING
Points: __________
(1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments
complete with fasteners. May have help tying shoes.
(0 POINTS) Needs help with dressing self or needs to be completely dressed.
TOILETING
Points: __________
(1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without
help.
(0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or
commode.
TRANSFERRING
Points: __________
(1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are
acceptable
(0 POINTS)Needs help in moving from bed to chair or requires a complete transfer.
CONTINENCE
Points: __________
(1 POINT) Exercises complete self control over urination and defecation.
(0 POINTS) Is partially or totally incontinent of bowel or bladder
FEEDING
Points: __________
(1 POINT) Gets food from plate into mouth without help. Preparation of food may be
done by another person.
(0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.
Total Points: ________
Score of 6 = High, Patient is independent.
Score of 0 = Low, patient is very dependent.
**Slightly adapted. Katz S., Down, TD, Cash, HR, et al. (1970) progress in the
development of the index of ADL. Gerontologist 10:20-30. Copyright The
Gerontological Society of America. Reproduced by permission of the publisher.