E&F Publications Catalog
Worksheets
Transferability Worksheet
The Transferability Worksheet is designed to complete a VDARE analysis from pre to post injury worker trait comparisons. This worksheet is to be used with the new Transitional COJ (2004) which is arranged to utilize the expanded list of 72 worker traits.W601 $32.95 - Pkg of 100
Interview Worksheet
The Interview Worksheet is a comprehensive and easy-to-use form that includes personal, family, military, education & training, employment, physical & medical, and financial data as well as specific vocational experience and observational comments.W602 $16.00 - Pkg of 50
Life Care Planning Worksheets
The LCP worksheets were originally drafted by Paul Deutsch and come in five sets of 18 different worksheets. Excellent resource in developing a life care plan.W611 $12.00
Functional Capacities Checklist
The FCC is a listing of 165 behavior and descriptive statements regarding an evaluees physical functioning such as strength, vision, hearing, movement, and various daily activities. This checklist can be self-administered to reading evaluees or administered by the counselor or evaluator. (Burke & Dillman, 1984).W603 $15.00 - Pkg of 50
ADA Job Analysis Worksheet
An eight-page worksheet, the ADA Job Analysis is an excellent tool to use as a guide in developing a comprehensive job analysis. Formatted in such a way as to remind the user of important ADA-related information.W608 $18.00 - Pkg of 50
Activities of Daily Living Worksheet
This four-page worksheet is designed to methodically survey many of the everyday activities that persons without disabilities take for granted. Activities include mobility, feeding, hygiene, dressing, wheelchair, communication, environmental control, attendant needs, orthotics, prosthetics and bed activities are included. Forms are coded for efficiency of space with ample room for specific individualized data about the activity including the time required to perform the action. (Weed, 1990).W612 $8.95 - Pkg of 25
Labor Market Survey Forms
This two-page form can be used to summarize information pertinent to a clients rehabilitation. Methods used include publications, personal contacts and a listing of specific information obtained from employers or contact persons. This form can be used in conjunction with the Rehabilitation Consultants Handbook. (Weed & Field, 1994).W613 $8.95 - Pad of 50
Earning Capacity Assessment Form
A six-page worksheet designed to assist the professional in making a reasoned and accurate assessment of a clients earning capacity.W605 $13.95 - Pkg. of 25



