Qualifying Scores from Supports Intensity Scale |
SIS Activity | If your type of support is: | And your frequency of support score is: | And your daily support time score is: | Then your critical task hours = | Enter one time for each SIS activity |
A7: Taking care of clothes (including laundering) | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
B5: Using public services in the community | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
B6: Shopping and purchasing goods and services | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
F2: Participating in recreation/leisure activities with others | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
2 | 1 | |
3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
F8: Engaging in volunteer work | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
G7: Managing money and personal finances | 1 or more | 0 | 0 or more | 0 | |
1 | 0 or more | 0 | |
2 | 0 | 0 | |
1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 3 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| | 4 | 0 | 0 | |
| | 1 | .25 | |
| | 2 | 1 | |
| | 3 | 3 | |
| | 4 | 5 | |
| Weekly critical support time score = | Sum of all times entered |
[Statutory Authority: RCW
71A.12.030 and
71A.12.120. WSR 19-02-020, § 388-828-9680, filed 12/21/18, effective 2/1/19. WSR 08-15-091, recodified as § 388-828-9680, filed 7/17/08, effective 7/17/08. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title
71A RCW. WSR 08-12-037, § 388-828-10340, filed 5/30/08, effective 7/1/08.]