	Completion
	Patient/family	Trained staff
Functional status
Home Safety Self-Assessment Tool http://sphhp.buffalo.edu/rehabilitation-science/research-and-facilities/funded-research/aging/home-safety-self-assessment-tool.html	x
Katz Index of Independence in Activities of Daily Living https://consultgeri.org/try-this/general-assessment/issue-2.pdf	x
Lawton Instrumental Activities of Daily Living Scale https://consultgeri.org/try-this/general-assessment/issue-23.pdf	x
Timed Up and Go Test https://www.cdc.gov/steadi/pdf/TUG_test-print.pdf		x
Tinetti Balance Assessment Tool http://hdcs.fullerton.edu/csa/Research/documents/TinettiPOMA.pdf		x
Nutrition
Mini Nutritional Assessment http://www.mna-elderly.com		x
Advance care planning
Conversation Project (family discussion guides) http://theconversationproject.org/starter-kits/	x
Prepare for Your Care (self-completed goal assessment tool) https://www.prepareforyourcare.org/page	x
Stanford Letter Project (allows patients to write a letter to their physician or a life review letter to a family member) https://med.stanford.edu/letter.html	x
Cognition*
Mini-Cog examination http://mini-cog.com/wp-content/uploads/2015/12/Universal-Mini-Cog-Form-011916.pdf		x
Montreal Cognitive Assessment http://www.mocatest.org/		x
Depression
Geriatric Depression Scale https://consultgeri.org/try-this/general-assessment/issue-4.pdf		x
Patient Health Questionnaire-2 http://www.commonwealthfund.org/usr_doc/PHQ2.pdf		x
Patient Health Questionnaire-9 https://www.med.umich.edu/1info/FHP/practiceguides/depress/phq-9.pdf		x