The Roll Evaluation of Activities of Life
The REAL™
The Roll Evaluation of Activities of Life (REAL™) offers a useful screening instrument to help professionals assess children’s ability to care for themselves at home, at school, and in the community- Publication date:
- 2013
- Age range:
- 2 years to 18 years 11 months
- Qualification level:
- B
The REAL may be used as a screening tool by medical professionals, occupational therapists, psychologists, mental health workers, and special education teachers in a variety of settings, such as outpatient hospitals, outpatient public or private clinics, mental health facilities, and educational settings.
Benefits
- Determine the need for skilled and supportive services.
- Develop Individual Educational Plans and choose intervention services.
- Make decisions on placement and living arrangements.
- Evaluate programs, with measurement of participants’ abilities prior to and after a program.
- Conduct research projects on child development and skill attainment.
Features
The REAL comprises two domains: (ADLs) and independent activities of daily living (IADLs).
The ADL consists of 78 statements that address six skill areas:

The IADL consists of 58 statements that address six skill areas:

- Measures how a child obtains the supplies needed to complete an activity.
- Measures how a child is or is not able to maintain a safe body position while performing an activity.
- Measures how a child sequences all the steps required to complete an activity.
- Measures how a child problem-solves and makes appropriate and safe choices during the activity.
- Reliable data collected from a representative sample of 786 participants from 46 states who are not disabled, ages 2:0 to 18:11.
- Manually scored; reports standard scores, percentile ranks, and standard error of measure.