• Ambulation

• Pushing, pulling, pressing

• Climbing, standing, stooping, bending

• Self-care (eating, food preparation, dressing, toileting, rolling over, grooming, hygiene, etc.)

• Wheelchair independence (transfer, propelling wheelchair)

• Control of bowel and/or bladder

• Writing

• Vehicle operation

• Range of motion in extremities

• Muscle control, reflex control

• Motor coordination, eye/hand/foot coordination

• Grasping, handling, hand/finger dexterity

• Kneeling, crawling, crouching

• Lifting, carrying, reaching

• Preoccupation with limitation (adjustment to disability)

• Self-confidence, self-image

Look at the specific functional limitations and show how they inhibit the individual's ability to get or keep a job. If the condition is severe, the individual in most cases will have multiple functional limitations that are easily related to vocational problems. The individual may also have secondary conditions that cause vocational limitations.

The counselor should explore the extent of functional limitations caused by the disability, but must be sure to go beyond that and explore all limitations that would impact the person's ability to get or keep a job. The individual may have secondary conditions e.g., hydrocephalus, and have limitations resulting from those conditions. In addition, the counselor should consider potential barriers such as inability to operate a motor vehicle or use public transportation.