Table 1 Levels of the Life Space Assessment
LSA level | During the last four weeks have you been to… | At what weekly frequency? | Was equipment such as a cane or walker needed? | Was assistance from a person needed? |
|---|---|---|---|---|
Level 1 | …other rooms of your home besides the room where you sleep? | 1) less than once a week 2) 1–3 times per week 3) 4–6 times per week, 4) daily | 1) Yes 2) No | 1) Yes 2) No |
Level 2 | …an area outside your home? | 1) less than once a week 2) 1–3 times per week 3) 4–6 times per week, 4) daily | 1) Yes 2) No | 1) Yes 2) No |
Level 3 | …places in your neighborhood? | 1) less than once a week 2) 1–3 times per week 3) 4–6 times per week, 4) daily | 1) Yes 2) No | 1) Yes 2) No |
Level 4 | …places outside your neighborhood? | 1) less than once a week 2) 1–3 times per week 3) 4–6 times per week, 4) daily | 1) Yes 2) No | 1) Yes 2) No |
Level 5 | …places outside your town? | 1) less than once a week 2) 1–3 times per week 3) 4–6 times per week, 4) daily | 1) Yes 2) No | 1) Yes 2) No |