Life Skills Inventory Independent Living Skills Assessment Tool Page 4

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Category E: Housekeeping
Basic - Must know 3 of 4:
Can wash dishes adequately using soap and hot water.
Can change a light bulb.
Can make a bed.
Knows how to dispose of garbage.
Intermediate - Must know 3 of 5:
Can use vacuum cleaner properly and change bags.
Can change bed linen.
Knows how to prevent sinks and toilets from clogging.
Knows how to sweep floor and stairs, wash wood and linoleum floors, wash windows, dust, polish furniture, clean
toilet, clean bathtub and sink.
Knows appropriate cleaning products to use for different cleaning jobs.
Advanced - Must know 5 of 7:
Knows how to stop a toilet from running.
Knows how to use a plunger to unstop a toilet or sink.
Can defrost the refrigerator, if necessary.
Can clean a stove.
Knows how to conserve energy and water.
Perform routine house-cleaning to maintain the home in a reasonably clean state.
Uses drawers and closets appropriately for storage.
Exceptional - Must know at least 3:
Knows what repairs a landlord should perform.
Can do minor household repairs.
Is able to contact the landlord and request repairs.
Can change a fuse or reset a circuit breaker.
Can measure a window for shades or curtains.
Knows how to get rid of and avoid roaches, ants, mice, etc.
Category F: Housing
Basic - Must know 2 of 2:
Understands the concept of renting.
Knows how to access emergency shelter.
Intermediate - Must know 3 of 4:
Can read want ads for vacancies.
Understands basic terms (lease, sub-let, utilities, studio, efficiency, security deposit, reference, etc.).
Can calculate the costs associated with different types of housing.
Can describe pros and cons of choosing a roommate.
Advanced - Must know 6 of 9:
Can identify type of housing that is within budget and meets current housing needs.
Can calculate “start up” costs (Utility deposits, connection fees, security deposit, first month’s rent, purchase of
furniture and all other household items).
Can complete a rental application.
Can ask the landlord about the available apartment to determine if it meets their needs.
Knows to inspect the apartment to make sure appliances work and that the landlord has supplied accurate
information about the apartment and the neighborhood.
Shows some concern for the rights of other residents with regard to property and noise.
Understands the consequences if the rights of other residents are not respected.
Understands the implication of the security deposit.
Knows the role of a landlord.
Exceptional - Must know at least 2:
Demonstrates the ability to get along with other residents and the landlord.
Knows how to get help if there is a conflict with the landlord.
Can access emergency assistance for utilities.
Category G: Transportation
Basic - Must know 3 of 6:
Can ride a bicycle safely.
Page 4 of 9
LIFE SKILLS INVENTORY
DSHS 10-267 (12/2000)

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