The scoring form for functional independence skills for the mentally retarded includes a section for recording subjects' demographic characteristics as well as tests used, date administered, and raw score. Other sections provide for a brief description of the program being used, an item scoring sheet for the Eating Scales (dependent feeding, finger foods, spoon and fork usage, and drinking), an eating checklist (self-service, assistive devices, type of food, positioning, rate of eating, advanced utensil usage, and supervision), Dressing Scales (male and female article/activity, for example, putting on shoes), and Toileting Scales (a toileting questionnaire record sheet and a night-time supplementary toileting sheet). (JS)