Last updated 2026-07-10

TL;DR
The SSA function report asks how your condition affects eight areas of daily life: personal care, cooking, housework, getting around, shopping, money management, social activity, and hobbies. Honest answers that capture your worst days, not your best, give SSA the clearest picture of your real limits. Understating struggles is the single most common mistake applicants make.
What is the activities of daily living form and why does SSA use it?
The main form you'll get is the SSA-3373, officially called the Adult Function Report. There is also the SSA-787, the Medical Source Statement, which your doctor fills out separately. When people say "ADL form," they usually mean the SSA-3373 that you complete yourself, or the third-party version (SSA-3380) that a family member or caregiver fills out about you. [1]
SSA uses these forms because its rules require evaluators to look at more than a diagnosis. A Blue Book listing alone does not automatically win a claim. Adjudicators also assess your Residual Functional Capacity (RFC), which is what you can still do despite your condition, and your ADL responses feed directly into that calculation. [2]
The logic is simple. If someone says their back pain is disabling but also describes mowing the lawn, doing laundry, and caring for grandchildren every day, the adjudicator sees a contradiction. The form is built to surface that contradiction in both directions. It helps claimants who are genuinely limited, and it catches descriptions that don't match the medical record.
Think of the form as your chance to give SSA a realistic picture of a typical bad day, not a heroic account of the one thing you managed last month.
What are the eight areas the function report covers?
The SSA-3373 is built around eight functional domains. Each domain has several sub-questions, and together they show how much you can do on your own and how much effort or pain it costs you. Here is what each section is actually after:
| Domain | What SSA is trying to learn |
|---|---|
| Personal care (bathing, dressing, grooming, toilet use) | Can you perform basic self-care without help or with significant difficulty? |
| Meal preparation | Can you plan and cook full meals, or only manage simple tasks like microwaving? |
| House and yard work | What chores can you do, how long does it take, and do you need rest breaks? |
| Getting around (driving, walking, public transit) | How far can you travel independently and does anxiety or pain limit this? |
| Shopping | Can you go out to stores, and how long can you manage before you need to stop? |
| Managing money | Can you handle a bank account, count change, and pay bills on time? |
| Social activities | How often do you spend time with others, and does your condition limit that? |
| Hobbies and interests | What can you still do for recreation, and how has that changed? |
Under each domain, SSA wants more than a yes or no. It asks how long the task takes, whether you need help, whether you need rest afterward, and whether doing it causes pain or other symptoms. Those qualifiers are where most applicants give too little. [1]
Take the bathing question in the personal care section. Writing "yes, I bathe" tells SSA nothing useful. Writing "I can shower but I have to sit on a shower bench, it takes 30 minutes instead of 10, and I need to rest for 20 minutes after because of fatigue" tells SSA something real.
How should you describe personal care honestly without feeling embarrassed?
This is the section applicants rush through or understate most often. Describing trouble with bathing, using the toilet, or dressing can feel humiliating, and many people reflexively downplay it.
Resist that instinct. SSA adjudicators read hundreds of these forms. They are not judging you personally. What they need is accuracy.
Work through a few specific questions before you write. Do you need adaptive equipment (a shower chair, grab bars, long-handled sponge)? Do you need someone to help you wash your hair or your feet? Do you skip bathing some days because standing is too painful or exhausting? Do you sit down while dressing? Do you skip grooming altogether because of fatigue, pain, or depression?
If the answer to any of these is yes, write it down in plain language. "On bad days, which happen three or four times a week, I can't shower at all. On other days I use a shower chair and my daughter helps me wash my hair."
That answer is not exaggerating. It is exactly what SSA needs. Leaving it blank because you managed a shower the day you filled out the form is a mistake that can cost you the claim.
How do you answer the meal preparation questions accurately?
SSA's meal questions ask what you prepare, how often, and how long it takes. They also ask whether your ability to prepare food has changed since your condition began.
A common trap is listing the most complex thing you've cooked recently. If you made a full dinner once last month but most days you eat sandwiches or microwaved meals because standing at the stove causes pain or exhaustion within minutes, describe the typical day, not the one good day.
Be specific about why your cooking is limited. Is it that you can't stand long enough? That you drop things because of weakness or tremor? That pain medication makes it unsafe to use the stove? That severe depression means you sometimes don't eat at all? Each points to a different functional limitation SSA needs to document.
If someone else does the cooking, say so, and say why. "My husband prepares most meals because I cannot stand for more than five minutes without hip pain." That one sentence is worth more than a paragraph of vague description.
What does SSA really want to know about housework and yard work?
The housework section asks what chores you do and how long they take. SSA cares about frequency, duration, and whether you need rest breaks. [1]
If you can vacuum but only for five minutes before you have to stop, that matters. If dishes take 30 minutes because you rest between plates, that matters. If you haven't done yard work in two years because bending and lifting are impossible, say that clearly.
Don't list every chore you can theoretically attempt. List what you actually do, and be honest about the limits. Many applicants write down everything they used to do, or everything they try once in a while, and create the impression that they function far better than they do on a typical day.
The goal is a realistic picture of your week, not a list of your best moments.
How do you answer questions about getting around and leaving the house?
This domain covers driving, walking distance, using public transportation, and whether you can go out alone. SSA is looking for evidence of how freely you can move through the world on your own.
If you stopped driving because of seizures, medication side effects, or vision problems, say so. If you can walk only half a block before pain stops you, write that specific distance. If anxiety or agoraphobia means you rarely leave home, explain how often and under what circumstances you can leave.
One question trips people up: "How far can you walk?" A lot of applicants write something hopeful like "I walk around the block sometimes." A better answer: "On a good day I can walk about 200 feet before knee pain forces me to stop and rest for 10 minutes. Most days I don't leave the house because the pain or fatigue is too high."
That answer is accurate, specific, and directly useful to an RFC analysis. Generic optimism is not.
Why do your answers about social activities and hobbies matter so much?
Social functioning is one of the four broad functional areas SSA formally evaluates in mental health claims, alongside understanding and memory, concentration and pace, and adapting to change. [2] Even for physical claims, social withdrawal driven by pain or fatigue can support your overall picture of limitation.
The function report asks how often you spend time with others, whether you have problems getting along with people, and how your condition has affected friendships or family. It also asks about hobbies and whether your ability to pursue them has changed.
Be honest here too. If you used to enjoy woodworking but can no longer grip tools because of neuropathy, describe that. If depression has pulled you away from friends you used to see weekly, say so. If you attend church but need help getting to your seat and have to leave early because of pain, that detail helps.
SSA is not trying to catch you enjoying yourself. It is trying to understand whether your activities line up with competitive work, which demands sustained effort, concentration, and social interaction eight hours a day, five days a week. A hobby you do for 20 minutes a few times a week is not the same thing. [2]
What are the most common mistakes people make on the function report?
After reviewing SSA's own policy guidance and the structure of the form, a few patterns show up again and again as harmful to claims.
Describing your best day instead of your average day. If you had a good week and filled out the form on a good day, your answers reflect that. Think back over the past month and describe what a typical week actually looks like, bad days included.
Saying you "can" do something without the cost. "I can cook" and "I can cook if I sit down every few minutes, it takes much longer than it used to, and I'm wiped out for the rest of the day" are completely different statements.
Leaving sections blank. A blank field reads as no limitation in that area. Write "N/A" or explain why the question doesn't apply, but don't leave it empty.
Being vague about frequency and duration. "Sometimes I go shopping" tells SSA almost nothing. "I go to the grocery store about once a month, for no more than 20 minutes, with my daughter, and I use a motorized cart" tells SSA a great deal.
Understating mental health symptoms. If depression, anxiety, PTSD, or cognitive problems affect your daily functioning, they belong on this form even if your primary condition is physical. SSA evaluates the whole person.
If you're working through the form and aren't sure how to frame your answers, a guided intake tool like DisabilityFiled can help you document your functional limits in plain language before you put anything in writing with SSA.
Should the third-party function report say something different than yours?
The SSA-3380 is the version a family member, friend, or caregiver fills out about you. SSA asks for this form because people often understate their own limitations, and an outside observer may describe things the claimant finds embarrassing to mention. [1]
The third-party form should not be a copy of your answers. It should reflect what that person actually sees. If your spouse notices that you sleep most of the day, lose your train of thought mid-conversation, or cry frequently, those observations count even if you didn't mention them yourself.
The two forms should be broadly consistent, but small differences are normal and expected. Big contradictions, where you claim severe limitation but your observer describes you doing everything independently with no trouble, will raise questions. The goal is honesty from both sides.
Pick someone who sees you regularly and on your bad days, not someone who only sees you at your best. A neighbor who visits once a month for coffee is a weaker observer than the family member who lives with you.
How does SSA use your ADL answers to make a disability decision?
Your function report feeds into several parts of the disability evaluation. At step three, SSA checks whether you meet or equal a listed impairment in the Blue Book. ADL information can support or undermine whether you meet certain listing criteria, especially in mental health listings under Part A, where four broad functional areas are scored. [2]
If you don't meet a listing, SSA moves to the RFC assessment. The RFC describes the most you can do in a work setting, and your ADL responses are one of the sources adjudicators use to build that picture. According to SSA's Program Operations Manual System, "Activities of daily living can indicate an ability or inability to perform basic work activities." [3]
This is why the specificity of your answers matters so much. An adjudicator comparing your ADL form to your doctor's records is looking for consistency. If your doctor notes severe fatigue and limited mobility but your function report describes an active daily routine, the claim is harder to approve. If both sources point to the same significant limits, the RFC is more likely to reflect those limits accurately.
The RFC directly affects whether SSA finds you can still do your past work or any other work in the national economy. That is the determination that decides your case.
For a broader understanding of what disability benefits require and what the overall process looks like, SSA's own guidance is your best reference. You can also review what it means to apply for Social Security disability before you submit anything.
What if your abilities change from day to day?
Variable symptoms are common with many disabling conditions. Multiple sclerosis, lupus, Crohn's disease, fibromyalgia, and bipolar disorder all cause symptoms that swing hard from day to day. The function report is not built well for variability, which is a real flaw in the form.
The practical fix is to describe the range. "On good days I can walk two blocks. On bad days I cannot get out of bed. I have two to three bad days per week." That framing gives SSA an honest picture without forcing you to pick one number that doesn't reflect reality.
You can also use the "remarks" section at the end of the form to add context about variability. Most applicants leave that section nearly empty. Use it.
If your condition involves frequent flares, hospitalizations, or stretches where you can't function at all, spell those out. SSA's regulations require consideration of whether a person can hold work on a consistent, regular basis, more than on their best days. [2]
As social security disability grows harder to work through, especially as SSA updates its review processes, being thorough now matters more than ever. You can read about how social security is bringing all medical disability reviews in-house and what that means for documentation standards.
How long does it take to complete the function report and when is it due?
SSA usually sends the function report shortly after you submit your initial application. You typically have about 10 days from the date on the letter to return it, though SSA may grant an extension if you call and ask. [1]
The form runs 10 pages and roughly 35 questions, with space for written responses. Most people find it takes two to three hours to complete thoughtfully. That is not time to rush.
Don't fill it out in one sitting if you're having a bad day and can't concentrate. Don't fill it out when you're feeling unusually well and your answers might reflect that. Try to spread it over two sessions on a typical day, when your description will be most representative.
If you miss the deadline, SSA may decide based on the information it already has, which is almost always less complete than what you would have provided. Missing the form is a real risk to your claim. Call SSA at 1-800-772-1213 if you need more time. [4]
Can your answers hurt your claim if you're too honest about what you can still do?
This is a real worry and worth answering directly. Some applicants fear that describing anything they can do will be used against them. That fear leads to the opposite problem: exaggerating limitations, which SSA adjudicators are also trained to spot, and which can end in denial or a fraud referral.
Honesty is the right approach, and honesty includes describing real limitations accurately. The key is being complete, not sparse. If you can cook a simple meal but it wipes you out for an hour afterward, "I can cook" is incomplete. The full answer includes the limitation and its consequence.
SSA knows most people can do some things. The question is whether what you can do, at the level you can do it, sustained over a full workday and workweek, would allow competitive employment. Someone who can walk 200 feet with rest breaks cannot hold a job that requires standing for six hours. Someone who can concentrate for 20 minutes before pain derails their focus cannot hold office work that requires sustained attention.
Accurate, detailed answers that reflect your real experience are your best protection. Vague, incomplete, or exaggerated answers in either direction are risks.
To see where your functional limitations fit in the broader picture of what SSA considers disabling, the social security disability benefits pay chart and related payment information can help you understand what's at stake financially while your claim moves along.
Frequently asked questions
What is the SSA-3373 form?
The SSA-3373 is the Adult Function Report, the standard form SSA sends to disability applicants to document how their condition affects everyday activities. It covers eight domains: personal care, meal preparation, housework, getting around, shopping, money management, social activity, and hobbies. It is one of the key non-medical documents SSA uses to build your Residual Functional Capacity assessment.
Is there a separate activities of daily living form my doctor fills out?
Yes. The SSA-787, also called the Medical Source Statement, is completed by your treating physician and covers similar functional domains from a clinical perspective. Your doctor's observations about your limitations, combined with your own function report answers, give SSA a more complete picture. When these two forms agree with each other and with your medical records, your claim is stronger.
What happens if I leave sections of the function report blank?
Blank fields are read as no limitation in that area. Even if a section feels less relevant to your condition, write a brief explanation rather than leaving it empty. If pain or medication side effects limit an activity you'd otherwise be able to do, that belongs on the form. Unanswered questions give the adjudicator less to work with, and that almost never helps your claim.
Should I describe my best day or my worst day on the function report?
Neither extreme. Describe a typical day across your full week, bad days included. If you have three bad days a week, those matter as much as the good days. The form should reflect your average functional level, not your peak. Many applicants describe their best recent day without realizing it, which can make their limitations look milder than they actually are.
How detailed should my answers be on the function report?
As specific as possible. Include how long an activity takes, how often you do it, what help you need, what adaptive equipment you use, and what happens afterward (rest needed, pain increase, fatigue). A one-word answer rarely captures what SSA needs. The remarks section at the end of the form is also valuable for adding context that didn't fit elsewhere.
Does the activities of daily living form affect mental health disability claims differently?
Yes. For mental health claims, SSA formally scores four broad functional areas, which include social functioning and concentration, as part of the Paragraph B criteria in the mental health Blue Book listings. Your ADL responses are a primary source for those scores. Describing how depression, anxiety, or cognitive problems affect your daily routine is especially important if you're claiming a mental health impairment.
Can I amend the function report after I submit it?
You cannot formally amend a submitted form, but you can send supplemental information in writing to SSA with your application or claim number, and your attorney or representative can submit additional evidence at any stage. If you realize you significantly understated your limitations, contact SSA or your representative promptly. Extra written statements about your functional limits are allowed and do get reviewed.
How much weight does SSA give to the third-party function report compared to my own?
SSA considers both. The third-party form (SSA-3380) can be especially valuable when it describes things you might be reluctant to admit, such as confusion, emotional outbursts, or inability to finish tasks. SSA's own guidance says it weighs non-medical source statements as evidence of the severity and impact of your impairments. Consistency between the two forms strengthens credibility.
What if my symptoms vary and I can't describe a single typical day?
Describe the range. Say how many good days versus bad days you have per week, and what each looks like. Use the remarks section to explain the variability. SSA rules allow consideration of whether you can sustain work on a regular, consistent basis, meaning a condition that causes two to three non-functional days per week can still support a disability finding even if other days are better.
How long do I have to return the SSA function report?
SSA typically gives you about 10 days from the date on the mailing. If you need more time, call SSA at 1-800-772-1213 and request an extension before the deadline. Missing the deadline without contact can leave SSA to decide your claim on the evidence it already has, which is usually incomplete and almost always works against you.
Will SSA compare my function report answers to my medical records?
Yes, directly. Adjudicators are trained to look for consistency between your ADL responses, your doctor's notes, and any other medical evidence in your file. If your doctor documents severe pain and limited mobility but your function report describes extensive daily activity, that mismatch raises questions. Honest, detailed answers that match your records are your strongest position.
Do activities I can do with help still count as limitations?
Absolutely. SSA's rules distinguish between activities you can do independently and those that require assistance. If you need a family member's help to bathe, shop, or manage finances, that is a limitation even if the task ultimately gets done. The function report asks specifically about help received, so note who helps you, how often, and what they do.
What if I improved since I first applied and my ADL abilities are better now?
Be honest about your current level, but document your history too. If your condition fluctuates or you had a period of improvement that later reversed, explain that timeline. SSA evaluates whether your disability has lasted or is expected to last at least 12 months, so the longitudinal picture matters more than where you are on the day you fill out the form.
Sources
- SSA, Adult Function Report SSA-3373-BK (form and instructions): The SSA-3373 Adult Function Report covers eight functional domains and is used to evaluate how a claimant's condition affects daily activities; the SSA-3380 is the third-party version completed by a family member or caregiver
- SSA, Disability Evaluation Under Social Security (Blue Book), Part A Mental Disorders Listings: SSA evaluates four broad functional areas in mental health claims (understanding/memory, concentration/pace, social functioning, and adapting to change) and the RFC assessment determines the most a claimant can do despite impairments
- SSA Program Operations Manual System (POMS) DI 24510.057, Activities of Daily Living: SSA POMS states that 'Activities of daily living can indicate an ability or inability to perform basic work activities' and are used as evidence in the RFC assessment
- SSA, Contact Social Security (1-800-772-1213): Claimants can call SSA at 1-800-772-1213 to request an extension for returning the function report if additional time is needed
- SSA, Disability Benefits (Publication No. 05-10029): SSA requires that a disability last or be expected to last at least 12 continuous months, and evaluates the claimant's ability to sustain work on a regular and continuing basis
- SSA, Program Operations Manual System (POMS) DI 22505.003, Residual Functional Capacity Assessment: The RFC assessment determines the maximum work a claimant can perform and draws on medical records, treating source statements, and function report responses for consistency evaluation
- SSA, Regulations 20 CFR 404.1545, Your Residual Functional Capacity: Under 20 CFR 404.1545, SSA considers all evidence about a claimant's functioning, including non-medical source statements and activities of daily living, when assessing RFC
- SSA, Program Operations Manual System (POMS) DI 22505.006, Evaluation of Symptoms: SSA adjudicators are directed to assess consistency between a claimant's reported symptoms and activities of daily living and the objective medical evidence in the file
- Government Accountability Office, GAO-20-641, Social Security Disability: SSA Could Take Steps to Improve the Quality of Disability Decisions: SSA's initial application approval rate has historically been around 21-22% at the initial level, with denials often citing insufficient documentation of functional limitations
- SSA, Medical Source Statement SSA-787: The SSA-787 is the Medical Source Statement completed by treating physicians documenting clinical observations of a claimant's functional limitations for SSA review