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Could I perform the essential job duties and tasks with or without reasonable accommodation? |
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What kind of accommodation would I need? |
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Would an accommodation be feasible? |
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Would the accommodation I need potentially pose an undue
hardship for an |
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What duties might be difficult or impossible for me to do? |
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Would I, due to the nature of my disability, pose a direct
threat to the health |
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Would a job pose a threat to my own health or safety? |
(In June, 2002, the U.S. Supreme Court ruled that jobs that
pose a threat to
the health or safety of a person with a disability can be a factor related
to hiring).
As you can see, it will be important for you to:
Become knowledgeable about your disability and accommodation needs;
Become knowledgeable about job accommodations; and
Become knowledgeable about essential job functions (duty and task
requirements) for careers you wish to explore.
It sounds like a lot, but you'll get help in this Guide each step of the way!
Let's start by gathering information about your disability -- as it relates to specific work tasks and functions.
In the following assessment, Parts 1 - 6, you'll be given a list of work-related functional skills. While keeping your disability in mind, try your best to determine if the functional skill presented is something you can realistically do in a job setting. Try to be as honest as possible as this information will be particularly useful and important when you begin exploring careers.
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Back to Assessment Contents Page
For each functional skill listed below, place a check (
) next to the appropriate answer.
(38 items)
1. Finger dexterity - work with small objects __ can do __ difficult __ unable to do
2. Fingering - pick up items with fingers __ can do __ difficult __ unable to do
3. Handling - hold, grasp, and turn items __ can do __ difficult __ unable to do
4. Manual dexterity - move hands skillfully __ can do __ difficult __ unable to do
5. Lifting - 10 pounds or less __ can do __ difficult __ unable to do
Lifting - 20 pounds or less __ can do __ difficult __ unable to do
Lifting - 50 pounds or less __ can do __ difficult __ unable to do
Lifting - 100 pounds or less __ can do __ difficult __ unable to do
Lifting - over 100 pounds __ can do __ difficult __ unable to do
6. Motor coordination - do tasks rapidly __ can do __ difficult __ unable to do
7. Balance - keep balance while
standing,
walking, crouching,
running
__ can do __ difficult __ unable to do
8. Speaking - present words clearly and
effectively
__ can do __ difficult __ unable to do
9. Climbing - go up and down stairs, ladders __ can do __ difficult __ unable to do
10. Crouching - bend down by bending legs __ can do __ difficult __ unable to do
11. Kneeling - bend legs and rest on knee __ can do __ difficult __ unable to do
12. Reaching - extend arms in any direction __ can do __ difficult __ unable to do
13. Stooping - bend body downward at waist __ can do __ difficult __ unable to do
14. Crawling - move on hands and knees __ can do __ difficult __ unable to do
15. Carrying - move things to another location __ can do __ difficult __ unable to do
16. Cutting - use scissors, blades, and knives __ can do __ difficult __ unable to do
17. Guiding - place and guide items accurately __ can do __ difficult __ unable to do
18. Assembling - put small parts together __ can do __ difficult __ unable to do
19. Disassembling - take small things apart __ can do __ difficult __ unable to do
20. Loading - place things in containers __ can do __ difficult __ unable to do
21. Monitoring - closely watch something __ can do __ difficult __ unable to do
22. Moving (light) - move light items __ can do __ difficult __ unable to do
23. Moving (heavy) - move heavy items __ can do __ difficult __ unable to do
24. Operating/controlling - operate and
control equipment and
machines __ can
do __ difficult __ unable to do
25. Precision working - do fine detail work
with precision and accuracy __ can
do __ difficult __ unable to do
26. Pushing (light) - push light items __ can do __ difficult __ unable to do
27. Pushing (heavy) - push heavy items __ can do __ difficult __ unable to do
28. Regulate - observe and make quick
changes
__ can do __ difficult __ unable to do
29. Remodel - change forms and shapes __ can do __ difficult __ unable to do
30. Drive - drive and operate a vehicle __ can do __ difficult __ unable to do
31. Repair - fix things with your hands __ can do __ difficult __ unable to do
32. Set up - get and arrange items needed __ can do __ difficult __ unable to do
33. Stack - put items in a neat pile __ can do __ difficult __ unable to do
34. Adjust (knobs) - turn knobs, handles, dials __ can do __ difficult __ unable to do
35. Adjust (items) - move and place things in
an accurate
position __ can do __ difficult __ unable to do
36. Stand - stand for long periods of time __ can do __ difficult __ unable to do
37. Sit - sit for long periods of time __ can do __ difficult __ unable to do
38. Endurance - work for long periods of time __ can do __ difficult __ unable to do
Back to Functional Skills Assessment Contents
For each functional skill listed, place a check (
) next to the most appropriate answer.
(13 items)
1. Feel - perceive size, shape,
temperature
and texture of objects by
hand
__ can do __ difficult __ unable to do
2. See (near) - see items clearly at 20
inches
or
less
__ can do __ difficult __ unable to do
3. See (far) - see items clearly at 20
feet
or
more
__ can do __ difficult __ unable to do
4. Vision adjustment - bring objects into
sharp
focus by adjusting distance of objects __ can
do __ difficult __ unable to do
5. Form perception - see detail (lines,
shapes,
shading) in graphics and
pictures
__ can do __ difficult __ unable to do
6. Color vision - identify and distinguish
colors and shades of color __ can
do __ difficult __ unable to do
7. Field of vision - see up and down
and to the
left and right while eyes are fixed
on a given
point
__ can do __ difficult __ unable to do
8. Depth perception - see things in
three-
dimension; see things in their true
relationship to one
another
__ can do __ difficult __ unable to do
9. Clerical perception - see detail and
differences in tabular
materials;
accurately proofread
words and numbers __ can do __
difficult __ unable to do
10. Verbal perception - perceive pertinent
detail in verbal communication
__ can do __ difficult __ unable to do
11. Hear - perceive sounds clearly __ can do __ difficult __ unable to do
12. Smell - perceive odors; distinguish
differences in
odor
__ can do __ difficult __ unable to do
13. Taste - perceive tastes; distinguish
differences in
taste
__ can do __ difficult __ unable to do
Back to Functional Skills Assessment Contents
For each functional skill listed, place a check (
) next to the most appropriate answer.
(7 items)
1. Verbal aptitude (receptive) - be
able to
understand meaning of words and
ideas communicated
verbally __ can
do __ difficult __ unable to do
2. Verbal aptitude (expressive) - be
able
to effectively express thoughts and
ideas
verbally
__ can do __ difficult __ unable to do
3. Spatial aptitude - be able to look
at
two-dimensional drawings of objects
and mentally visualize the objects in
three-dimensional
form
__ can do __ difficult __ unable to do
4. Learning aptitude - be able to
understand instructions, facts, ideas,
and concepts; be able to reason
and make
judgments
__ can do __ difficult __ unable to do
5. Numerical aptitude - be able to do
arithmetic and calculate numbers __ can
do __ difficult __ unable to do
6. Reading aptitude - be able to
understand meaning of written
words and
ideas
__ can do __ difficult __ unable to do
7. Writing aptitude - be able to
express
thoughts and ideas in
writing
__ can do __ difficult __ unable to do
Back to Functional Skills Assessment Contents
This assessment is divided into two parts: Part A -
DATA, and Part B - PERFORMANCE. For each functional skill listed, place a
check (
) next to the most appropriate
answer.
1. Analyze information: __ can do __ difficult __ unable to do
2. Calculate numbers: __ can do __ difficult __ unable to do
3. Classify things by group: __ can do __ difficult __ unable to do
4. Collate papers in proper order: __ can do __ difficult __ unable to do
5. Compare and recognize similarities
and
differences:
__ can do __ difficult __ unable to do
6. Compile and gather information: __ can do __ difficult __ unable to do
7. Compose something original: __ can do __ difficult __ unable to do
8. Compute math problems: __ can do __ difficult __ unable to do
9. Coordinate tasks and schedules: __ can do __ difficult __ unable to do
10. Copy papers and documents: __ can do __ difficult __ unable to do
11. Create new ideas: __ can do __ difficult __ unable to do
12. Develop ideas: __ can do __ difficult __ unable to do
13. Evaluate work: __ can do __ difficult __ unable to do
14. Examine things: __ can do __ difficult __ unable to do
15. File information and records: __ can do __ difficult __ unable to do
16. Investigate information: __ can do __ difficult __ unable to do
17. Manage money: __ can do __ difficult __ unable to do
18. Observe operations: __ can do __ difficult __ unable to do
19. Organize information: __ can do __ difficult __ unable to do
20. Organize work and tasks: __ can do __ difficult __ unable to do
21. Read for information: __ can do __ difficult __ unable to do
22. Record numbers: __ can do __ difficult __ unable to do
23. Record information: __ can do __ difficult __ unable to do
24. Report information: __ can do __ difficult __ unable to do
25. Research information: __ can do __ difficult __ unable to do
26. Sort items into groups: __ can do __ difficult __ unable to do
27. Synthesize (put together) information: __ can do __ difficult __ unable to do
28. Transcribe (copy) information: __ can do __ difficult __ unable to do
29. Write reports, letters and documents: __ can do __ difficult __ unable to do
30. Write messages: __ can do __ difficult __ unable to do
31. Use and operate a computer: __ can do __ difficult __ unable to do
If you answered "difficult" or "unable to do," check the reason(s) why below:
___ too hard to learn
___ have not received training
___ do not have access to a computer
___ cannot read the screen -- Do you
know print enlargement is possible and screen
reading software is available?
___ cannot operate the keyboard -- Do
you know voice-activated software is
available? Ergonomic keyboards are available?
___ cannot operate the mouse -- Do
you know you can use a trackball or the
keyboard instead of the mouse?
For information and guidance about computer accessibility options, contact:
The Job Accommodation Network (Jan) at 1-800-526-7234 (voice/TTY).
32. Enter and store information
on a computer:
__ can do __ difficult __ unable to do
33. Retrieve information stored
on a computer:
__ can do __ difficult __ unable to do
34. Use e-mail on a computer: __ can do __ difficult __ unable to do
1. Follow instructions: __ can do __ difficult __ unable to do
2. Accept supervision: __ can do __ difficult __ unable to do
3. Complete tasks: __ can do __ difficult __ unable to do
4. Meet deadlines: __ can do __ difficult __ unable to do
5. Maintain good attendance: __ can do __ difficult __ unable to do
6. Persevere (face challenges but continue
working):
__ can do __ difficult __ unable to do
7. Work independently: __ can do __ difficult __ unable to do
8. Learn new skills: __ can do __ difficult __ unable to do
9. Organize and manage time: __ can do __ difficult __ unable to do
10. Stay motivated: __ can do __ difficult __ unable to do
11, Organize work: __ can do __ difficult __ unable to do
12. Be punctual: __ can do __ difficult __ unable to do
13. Follow procedures: __ can do __ difficult __ unable to do
14. Relay accurate information: __ can do __ difficult __ unable to do
15. Be reliable: __ can do __ difficult __ unable to do
16. Remember steps: __ can do __ difficult __ unable to do
17. Remember facts and information: __ can do __ difficult __ unable to do
18. Be responsible: __ can do __ difficult __ unable to do
19. Do quality work: __ can do __ difficult __ unable to do
20. Be accurate: __ can do __ difficult __ unable to do
21. Work well with others: __ can do __ difficult __ unable to do
22. Be trustworthy: __ can do __ difficult __ unable to do
23. Be tactful: __ can do __ difficult __ unable to do
24. Get along with others: __ can do __ difficult __ unable to do
25. Absorb and manage anger: __ can do __ difficult __ unable to do
26. Absorb and manage stress: __ can do __ difficult __ unable to do
27. Stay on task: __ can do __ difficult __ unable to do
28. Do neat and orderly work: __ can do __ difficult __ unable to do
29. Be agreeable: __ can do __ difficult __ unable to do
30. Be self-directed: __ can do __ difficult __ unable to do
31. Be professional: __ can do __ difficult __ unable to do
32. Wear a smile! __ can do __ difficult __ unable to do
Back to Functional Skills Assessment Contents
Let's now identify and highlight your strongest (best) work skills in each functional work skill category.
In each skill category below, list your best or strongest functional work skills. Which skills do you do best?
My five (5) best PHYSICAL SKILLS are: (list)
1. ___________________________________
2. ___________________________________
3. ___________________________________
4. ___________________________________
5. ___________________________________
My strong PERCEPTUAL SKILLS are: (list all that apply)
1.
_______________________
2. _______________________
3.
_______________________
4. _______________________
5.
_______________________
6. _______________________
7.
_______________________
8. _______________________
9.
_______________________
10. _______________________
11.
_______________________
12. _______________________
13. _______________________
My strong APTITUDES are: (list all that apply)
1.
_______________________
2. ________________________
3.
_______________________
4. ________________________
5.
_______________________
6. ________________________
7. _______________________
My five (5) best DATA SKILLS are: (list)
1. _______________________
2. _______________________
3. _______________________
4. _______________________
5. _______________________
My five (5) best PERFORMANCE SKILLS are: (list)
1. _______________________
2. _______________________
3. _______________________
4. _______________________
5. _______________________
Back to Functional Skills Assessment Contents
Now, let's identify and summarize your next set of results!
Before we begin, please note the following....
For career planning and employment purposes, what you need to be able to identify and target are the work skill functional limitations related to your disability. It's the functional limitation(s) that will determine what accommodation, if any, you might need, and if a job's essential functions (duties and task requirements) can be met with or without accommodation.
In other words, identifying the functional limitations will help guide you in determining if a particular career will be viable or not. Much will depend on the job's essential requirements, and if a functional limitation can be reasonably accommodated.
For this reason, in the following summary profile, you will be asked to list those skills you identified as being difficult or not possible for you to do. Again, this information will be very helpful when you begin exploring careers.
In each of the following categories, list those skills that you marked difficult or unable to do in Parts 1 - 4.
If you checked several items that resemble one another or are similar in nature, it's okay to simply group and label them by type. For example, if you have difficulty with finger dexterity, handling items, and manual dexterity, you can simply write - "manual dexterity" or "working with my hands."
My FUNCTIONAL LIMITATIONS include: (list)
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__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
My FUNCTIONAL LIMITATIONS include: (list)
__________________________
__________________________
__________________________
__________________________
My FUNCTIONAL LIMITATIONS include: (list)
__________________________
__________________________
__________________________
__________________________
My FUNCTIONAL LIMITATIONS include: (list)
DATA:
__________________________
___________________________
__________________________
___________________________
__________________________
___________________________
__________________________
___________________________
PERFORMANCE:
__________________________
___________________________
__________________________
___________________________
__________________________
___________________________
__________________________
___________________________
You made it through the last exercise! Ready to head on to Milepost 9? Let's go to the Assessments Contents Page. You're close to the Final Destination!
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Milepost 8: My Functional Work Skills Assessment