After a brain injury, a familiar task may feel different. Use this page alongside your treating team's advice to describe one concern, such as following instructions or managing a busy setting. You do not need to push through symptoms to complete it. Ask someone you choose to help record your words.
How to use this page
Choose one daily activity. Note a concrete example and prepare a question; follow the treating team's existing safety and activity guidance.
Describe a manageable example
Record the task, what felt different, and any support that helped. Avoid repeatedly testing your limits. A short note about the setting and impact can be more useful than a long account that becomes tiring.
Ask for a tailored plan
Ask the team what adjustments, rehabilitation services, or follow-up may fit this concern. Clarify instructions you do not understand and who to contact if things change. This worksheet cannot decide readiness for driving, work, school, exercise, or sport.
Reflection prompts
Use these questions in conversation, on paper, or in the downloaded PDF. You may adapt or skip a prompt.
What daily activity has become difficult or different?
What did I notice, and what support already helped?
What specific question do I want my treating team to answer?
How will I remember the agreed advice and arrange follow-up?
Facilitator notes and adaptation
Use only after appropriate medical assessment and within the treating plan. New or worsening symptoms need prompt medical guidance; emergencies take priority over the worksheet. Adapt for fatigue, memory, language, vision, and motor access. Do not prescribe exertion, diagnose injury severity, or authorize return to activity.
Sources behind the concepts
These sources inform the concepts in this original resource. They do not validate or endorse this specific page.
Medical assessment, recovery, and rehabilitation context; the worksheet helps prepare a care conversation and does not authorize activity or return to sport.