Supplementary MACS level identification chart

To be used together with the MACS leaflet

Does the child handle

most kinds of objects
Yes No
independently?

Does the child perform even difficult Does the child perform a number of
manual tasks with fair speed and manual tasks which commonly need
accuracy and does not need to use to be adapted or prepared, and help is
alternative ways of performance? only needed occasionally?

Yes No Yes No

Level I Level II Level III Does the child handle

Handles objects easily and
successfully. At most
limitations in the ease of
performing manual tasks
requiring speed and
accuracy.
Handles most objects but Handles objects with some easy to handle
with somewhat reduced difficulty, needs help to objects if frequently
quality and/or speed of prepare and/or modify supported?
achievement. May avoid activities.
some tasks or use alternative
ways of performance. Yes No

Level IV
Handles a limited selection
of easily manage objects in
adapted situations,
requires continuos support.
Level V
Does not handle objects
and has severely limited
ability to perform even
simple actions. Requires
total assistance.

Field trial version