Field trial version
Supplementary MACS level identification chart
To be used together with the MACS leaflet
No
Does the child handle
most kinds of objects
independently?
Does the child perform even difficult
manual tasks with fair speed and
accuracy and does not need to use
alternative ways of performance?
Level II
Handles most objects but
with somewhat reduced
quality and/or speed of
achievement. May avoid
some tasks or use alternative
ways of performance.
Level I
Handles objects easily and
successfully. At most
limitations in the ease of
performing manual tasks
requiring speed and
accuracy.
Yes
Yes
Does the child perform a number of
manual tasks which commonly need
to be adapted or prepared, and help is
only needed occasionally?
Level III
Handles objects with
difficulty, needs help to
prepare and/or modify
activities.
Does the child handle
some easy to handle
objects if frequently
supported?
Level IV
Handles a limited selection
of easily manage objects in
adapted situations,
requires continuos support.
No
Yes
Yes No
No
Level V
Does not handle objects
and has severely limited
ability to perform even
simple actions. Requires
total assistance.