1. May I, Can I, Should I? Yes or No 2. Overall Average Condition? -10 to +10 3. Worst Condition?

Anything less than +10 4. Specied Areas of particular interest? -10 to +10 5. Progress toward Specied Goals? 0 to %100

This side is for Lower Function, Sustaining and Rebuilding Condition(s) Non-Benecial Negative Effects

Reference Person

This side is for Better Functioning Sustaining and Rebuilding Condition(s) Benecial Positive Effects

YES

10

20

Ready for Question.

30 40

? 50

3 4 5 6 7 8 9
Less than Detrimental Critical Severe

2
Mild

1
Bal. k

2
Mild +

3 4 5 6
Strong + Better Benecial Very Strong

60 70 7 8 9 10 80 90 100

NO

10

This side is for Lower Function, Sustaining and Rebuilding Condition(s) Non-Benecial Negative Effects

Reference Person

This side is for Better Functioning Sustaining and Rebuilding Condition(s) Benecial Positive Effects

YES

10

20

Ready for Question.

30 40

? 50

3 4 5 6 7 8 9
Less than Detrimental Critical Severe

2
Mild

1
Bal. k

2
Mild +

3 4 5 6
Strong + Better Benecial Very Strong

60 70 7 8 9 10 80 90 100

NO

10