The activities in the ACLS-6 can be used to get an Initial Evaluation, but those activities may not all produce the same score. Ability to function is a general pattern of performance with exceptions that are often explained by other medical impairments and the person's personal history in doing activities.
If you are using only the stitching (or lacing) test, it is known to produce scores that do not always match the person's pattern of performance.
Verification of an ACL score is needed to support the assumption that the same quality of information is guiding the same quality of behaviour while doing different activities. The guidelines to verify and rule out the ACL score are provided within the modes and profiles.
Take your time to establish the first ACL score because many decisions may be based on it. Avoid being bullied into giving a quick score, and exercise your right to withhold a score when you are unsure.