Translations of the questions in the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) can be done with modifications that incorporate the activities that enable an Alaska Native older adult to engage in subsistence living. Traditional cultural activities such as berry picking, fishing, nature walks, gathering edible and medicinal plants, steam baths, and arts and crafts could be included in a modified assessment instrument. The assessment tool that has been translated into a culturally relevant instrument can be used by tribal doctors, family members, and community health workers. The tool can be administered orally or in writing depending on the patient’s literacy level. Graphics and culturally appropriate symbols may also be used.