Matching Pairs FIM ScoresOnline version Match the levels of assistance to the correct definition. by Tabitha Mecklenborg 1 Minimal (contact) assistance FIM 4 2 Modified Independence FIM 6 3 Moderate assistance FIM 3 4 Supervision or setup FIM 5 5 Total assistance FIM 1 6 Maximal assistance FIM 2 7 Complete independence FIM 7 8 Contact Guarding Patient requires no more help than standby, cueing or coaxing, without physical contact , or, someone is needed to set up needed items or apply orthoses; requires supervision and/or verbal sues to complete activity (may not always be safely done or correctly) Patient contributes little or nothing toward execution of activity; patient expends less than 50% of the effort, but at least 25% Patient requires more help than touching; expends half (50%) or more (up to 75%) of the effort. Patient is able to assume part of his body weight in initiating and performing the activity. Patient requires small amount of help to accomplish activity; patient requires no more help than touching, and expends 75% or more of the effort. Patient is able to assume all of his body weight, but requires guidance for initiation, balance, and/or stability during the activity. Patient lacks the necessary strength or mental capability to perform any part of the activity or performance is impractical; patient expends less than 25% of the effort One or more of the following may be true: the activity takes more than reasonable time, or there are safety (risk) considerations; not manual assistance/helper required. All of the task described as making up the activity are typically performed safely, without modification, assistive devices, or aids, and within reasonable time; no assistance required. Performs activity safely alone and feels secure. A variation of minimal assist where patient requires occasional contact to maintain balance or dynamic stability; requires hand contact because of occasional loss of balance (protective safeguard)