Less than 1 year 1 to 2 years 2 to 5 years 5 to 10 years More than 10 years

Very Verbal & Understanable
Occasionally Verbal /Somtimes quiet & not understanble
Rarely speaks / Not understandable

Not affected by Parkinson's
Mild "Poker Face"
Slight Expression
No Expression

Normal
Mildly Effected / Shuffling of feet
Sometimes needs assistance / Shuffling and slow
Needs Cane, Walker or Wheel chair

Totally upright
Bend over forward or to left or right
Walks with head down

Never unstable - walks unassisted
Occasionally unstable - occasionally uses cane, walker or wheel chair
Often - must use assistance from cane, walker or wheelchair

Never
Occasionally / Less than once a week
Often / More than once a week - requires medication
Always - requires medication

Never
Occasionally / Less than once a week
Often / More than once a week - requires medication
Always - requires medication

Never
Occasionally / Less than once a week
Often / More than once a week - requires medication
Always - requires medication
While Awake
While Sleeping

Never
Occasionally / Less than once a week
Often / More than once a week - requires medication
Always - requires medication
While Walking
While Sleeping

Range of motion unaffected
Range of motion slightly affected
Range of motion moderately affected
Range of motion severely affected
No mobility at all

Range of motion unaffected
Range of motion slightly affected
Range of motion moderately affected
Range of motion severely affected
No mobility at all

Is client active with family and friends?Yes No
Does client show interest in activities outside the home?Yes No
Does client participate in a support group?Yes No
Does client have a daily or weekly exercise program?Yes No