Sarno Functional Life Scale (SFLS)
Description: An objective measure that estimates an individual’s ability to participate in all of the basic activities customary to a human being. The five elements comprising the scale include: cognition, activities of daily living (ADL), activities inside the home, outside activities, and social interaction.
Format: 44 items designed to measure the five elements of performance on four qualities of performance (self-initiation, frequency, speed, and overall efficiency) that are ranked on a five point scale:
0 = Does not perform the activity at all
1 = Very poor
2 = Deficient
3 = Approaches normal
4 = Normal
Scoring: The scoring of the SFLS is a matter of finding the proportion of the patient’s scores with respect to his/her maximum score (see details below on where to obtain). Scores are obtained for each category and each quality of performance being measured. The overall score obtained is the proportion of the patient’s total score in all five categories compared to his/her maximum possible total.
Administration and Burden: Interviewer-administered (Observational); Approximately 15-20 minutes.
Psychometrics for SCI: Not available.
QoL Concept: The SFLS is a measure of Activities of Daily Living, which corresponds to Boxes B (societal standards and priorities) and C (achievements; activities of daily living) of Dijker’s Model.
Permissions/Where to Obtain: Public Domain; The SFLS and scoring information can be obtained from the article:
Sarno JE, Sarno MT, Levita E. The Functional Life Scale. Arch Phys Med Rehabil 1973;59:330-7.
**CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE RIGHT TO READ HOW THE SFLS HAS BEEN USED WITH A PARTICULAR CONDITION**