Texas Functional Living Scale (TFLS)

Texas Functional Living Scale (TFLS)


Munro Cullum, Kathy Saine, Myron F. Weiner

Age Range:

16:0–90:0 years old

Scoring Option:

Manual scoring


T-Score and Cumulative Percentages

Scoring Options:

Manual scoring

Publication Date:


Quickly screen to determine appropriate level of care.

TFLS provides an ecologically valid, performance-based screening tool to help identify the level of care an individual requires. Brief and easy to use, the TFLS is especially well-suited for use in assisted living and nursing home settings.

Users & Applications

TFLS can help support diagnostic work-ups, placement decisions, treatment planning, evaluation of treatment outcomes, and monitoring of disease progression. The instrument is used by a range of professionals, including by:

  • Neuropsychologists and clinical psychologists working with all age ranges, to determine appropriate level of care
  • Social workers, to evaluate changes in level of care for individuals
  • Researchers in pharmaceuticals companies, to help conduct Alzheimer/dementia drug efficacy trials


TFLS helps measure an individual’s ability in four functional domains:

  • Time—Ability to use clocks and calendars
  • Money and Calculation—Ability to count money and write checks
  • Communication—Ability to make a snack and use phones and phone books
  • Memory—Ability to remember simple information and to take medications

Features and Benefits

  • The instrument is linked with the WAIS®-IV and the WMS®-IV. TFLS is particularly useful with individuals suffering from dementia because it focuses primarily on skills likely to be affected by cognitive decline.

Psychometric Information

TFLS has been standardized with the WAIS-IV and WMS-IV.

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