Frontotemporal Dementia Rating Scale
FRS
Patients Name:___________________________________________ Todays date:____/____/____
Respondent:_____________________________________ Relationship to patient: _____________
For each sentence, circle the frequency of the problem on the right
handside. If the question does not apply for them, e.g. he/she did not cook
before, then mark N/A. Please refer to scoring and interview guides before
administering the scale.
Behaviour
Frequency
1. Lacks interest in doing things - their own interests/leisure
activities/new things
All the time
Sometimes
Never
2. Lacks normal affection, lacks interest in family members worries
All the time
Sometimes
Never
3. Is uncooperative when asked to do something; refuses help
All the time
Sometimes
Never
4. Becomes confused or muddled in unusual surroundings
All the time
Sometimes
Never
5. Is restless
All the time
Sometimes
Never
6. Acts impulsively without thinking, lacks judgement
All the time
Sometimes
Never
7. Forgets what day it is
All the time
Sometimes
Never
All the time
Sometimes
Never
All the time
Sometimes
Never
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
13. Lacks interest in his/her personal affairs such as finances
All the time
Sometimes
Never
14. Has problems organising his/her finances and to pay bills (cheques,
N/A
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
Outing and Shopping
8. Has problems taking his/her usual transportation safely (car if has a
driver licence; bike or public transport if does not have a driver licence)
9. Has difficulties shopping on their own (e.g. to go to the local shops to get
milk and bread if did not use to do the main shopping)
N/A
Household chores and telephone
10. Lacks interest or motivation to perform household chores that
he/she used to perform in the past
11. Has difficulties completing household chores adequately that he/she
used to perform in the past (to the same level)
12. Has difficulty finding and dialling a telephone number correctly
Finances
bankbook, bills)
15. Has difficulties organising his/her correspondence without help
(writing skills)
16. Has problems handling adequately cash in shops, petrol stations,
etc (give and check change)
Medications
17. Has problems taking his/her medications at the correct time (forgets
or refuses to take them)
18. Has difficulties taking his/her medications as prescribed (according to
the right dosage)
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
Sometimes
Never
Sometimes
Never
N/A
Meal Preparation and Eating
19. Lacks previous interest or motivation to prepare a meal (or
breakfast, sandwich) for himself/herself (rating based pre-morbid functioning; score
All the time
same task for questions 19, 20 and 21))
N/A
20. Has difficulties organising the preparation of meals (or a snack if
patient was not the main cook) (choosing ingredients; cookware; sequence of
All the time
steps)
N/A
21. Has problems preparing or cooking a meal (or snack if applicable) on
their own (needs supervision/help in kitchen)
All the time
Sometimes
Never
N/A
All the time
Sometimes
Never
23. Has difficulties choosing appropriate utensils and seasonings when
eating
All the time
Sometimes
Never
24. Has problems eating meals at a normal pace and with appropriate
manners
All the time
Sometimes
Never
25. Wants to eat the same foods repeatedly
All the time
Sometimes
Never
26. Prefers sweet foods more than before
All the time
Sometimes
Never
All the time
Sometimes
Never
28. Is incontinent
All the time
Sometimes
Never
29. Cannot be left at home by himself/herself for a whole day (for safety
All the time
Sometimes
Never
22. Lacks initiative to eat (if not offered food, might spend the day without eating
anything at all)
Self care and mobility
27. Has problems choosing appropriate clothing (with regard to the occasion,
the weather or colour combination)
reasons)
30. Is restricted to the bed
Any other comments:
All the time
Never
