The Canadian Occupational Performance Measure (COPM) is a clinician-administered interview style questionnaire which measures the client’s self-perception of occupational performance.
The client is asked to identify a number of activities of difficulty. Then, the client rates their perceived performance, importance, and satisfaction regarding each activity on a 1-10 scale. It is recommended to administer the COPM multiple times in order to determine changes in scores over time.

ICF Domain

Participation ▶ General tasks and demands


  • Issues rated 1-10 in importance.
  • Goals rated 1-10 in performance and satisfaction.
  • Higher scores reflect greater importance, performance, or satisfaction.
  • Mean scores for performance & satisfaction can be obtained.

Number of Items

Up to 5 items/goals selected from identified issues




English, French, Hebrew, Mandarin, Persian, Spanish and 30+ others.

Training Required

Training is required and can be accessed here.


Can be purchased here.

# of studies reporting psychometric properties: 3



  • Performance: 2.0
  • Importance: 2.0
  • Satisfaction: 2.0
  • *Values referred to as Minimally Worthwhile Treatment Effect

SEM: not established for SCI
MDC: not established for SCI


  • Test-retest reliability of the COPM is High for performance (ICC = 0.99) and satisfaction subscales (ICC = 0.98).
  • Internal consistency of the COPM is High for performance (alpha = 0.93) and satisfaction subscales (alpha = 0.89).

(Beradi et al. 2019)


  • There is Moderate correlation with the COPM subscales and the Functional Independence Measure (FIM) Motor subscale (r = 0.388-0.514).
  • There is Low correlation with the COPM subscales and the Klein-Bell ADL Scale (rho = 0.07) and the SCIM III (r = 0.22-0.30, rho = 0.17-0.30).

(Donelly et al. 2004, Samuelsson et al. 2004, Beradi et al. 2019)


Not established in SCI.

Floor/Ceiling Effect

Not established in SCI.


Dr. Janice Eng, John Zhu, Jeremy Mak, Risa Fox

Date Last Updated

3 August 2020

Berardi A, Galeoto G, Guarino D, Marquez MA, Santis RD, Valente D, Caporale G, Tofani M. Construct validity, test-retest reliability, and the ability to detect change of the canadian occupational performance measure in a spinal cord injury population. Spinal Cord Series and Cases 2019;52:1-8.

Boswell-ruys CL, Harvey LA, Barker JJ, Ben M, Middleton JW, Lord SR. Training unsupported sitting in people with chronic spinal cord injuries: a randomized controlled trial. Spinal Cord. 2010;48(2):138-43.

Donnelly C, Eng JJ, Hall J, et al. Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury. Spinal Cord. 2004;42(5):302-7.

Samuelsson KA, Tropp H, Gerdle B. Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users. Spinal Cord. 2004;42(1):41-6.