Life Skills Inventory Independent Living Skills Assessment Tool (Page 7 of 9) in pdf

Category K: Emergency and Safety Skills (continued)

Intermediate - Must know 3 of 5: (continued)

Knows what to do, and whom to call if she/he smells a gas leak.

Advanced - Must know 2 of 3:

Knows the different methods for putting out different kinds of fires.

Knows how to properly store cleaning materials.

Can usually determine when professional medical help is needed.

Exceptional - Must know 2 of 2:

*Youth may have their cards, but completion of the other areas is important. The rating should be based on

the lowest area where they have completed the skills.

Has completed First Aid training.

Has completed CPR training.

Category L: Knowledge of Community Resources

Basic - Must know 4 of 5:

Knows how to get emergency information by telephone.

Knows whom to contact if injured or sick.

Knows where nearest supermarket or shopping district is located.

Knows how to access emergency food and shelter.

Knows how to access crisis line.

Intermediate - Must know 3 of 5:

Knows where nearest Laundromat is located.

Knows where personal bank is located.

Can use the yellow pages to obtain information.

Knows location of nearest CSO.

Knows location of nearest post office and how to use it.

Advanced - Must know 3 of 5:

Knows whom to contact if utilities disconnected, or heat goes out.

Knows where and how to register for selective service.

Knows where the nearest state employment office is located.

Can obtain a copy of birth certificate and a duplicate social security card.

Has awareness of “specialized” resources: mental health counseling, consumer counseling, VD clinics, student aid

offices, tenant groups, animal control, public recreation, etc.

Exceptional - Must know at least 2:

Knows who elected representatives are and how to contact them.

Has obtained a library card.

Knows what the Better Business Bureau does and how to contact it.

Category M: Interpersonal Skills

Basic - Must know 5 of 5:

Can respond to introductions and answer simple questions.

Can identify one friend.

Look others in the eye and shakes hands if other person offers.

Can make “small talk” (face to face).

Communicates with at least one person weekly.

Intermediate - Must know 4 of 6:

Can make introductions, including approaching others to introduce self.

Is aware of boundary issues.

Is not harmful to others.

Can ask for help.

Can explain feelings.

Can identify relationships that may be hurtful or dangerous.

Advanced - Must know 8 of 13:

Can identify personal strengths and needs (with assistance if necessary).

Accepts invitations from others to be involved in social activities.

Make arrangements with peers for social activities.

(see next page)

Page 7 of 9

LIFE SKILLS INVENTORY

DSHS 10-267 (12/2000)

Life Skills Inventory Independent Living Skills Assessment Tool Page 7

Related Articles

Related forms

Related Categories