Specialized Driver Rehabilitation Assessment
Find Your Ideal Program in 15-20 Minutes
Current Section: 1 of 7
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Medical & Referral Status
1.1: How are you accessing this program?
Medical referrals indicate clinical validation and may affect insurance coverage.
1.2: What is the primary reason you're seeking specialized driving assessment?
Select all that apply
Current Driving Ability & Concerns
2.1: How would you rate your current driving confidence?
Confidence level indicates intervention intensity and therapeutic approach.
2.2: Have you experienced any of these driving challenges recently?
Select all that apply
Physical & Functional Abilities
3.1: Do you have any physical limitations affecting vehicle operation?
Cognitive & Perceptual Abilities
4.1: Have you noticed changes in your memory, concentration, or thinking?
Medical History & Medications
5.1: Have you experienced any medical events affecting driving?
Select all that apply
5.2: How many medications are you currently taking?
Demographics & Practical Factors
6.1: What is your age group?
6.2: What outcome is most meaningful for you?
Occupational Therapy Collaboration
7.1: Do you have an occupational therapist or healthcare provider coordinating your care?
7.2: Would you benefit from OT collaboration with your driving assessment?
Your Assessment Results
0
Total Assessment Score
Out of 194 points maximum
Program Recommendation
Program Type
Expected Duration
Primary Focus
Specialized Category
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