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Printed on 4/21/2026
For informational purposes only. This is not medical advice.
The Tilburg Frailty Indicator (TFI) is a multidomain frailty questionnaire that captures physical, psychological, and social vulnerability. It is designed for community and outpatient older-adult assessment and supports broader frailty detection beyond purely physical phenotype models. Scores range from 0 to 15, and a total of 5 or more is commonly used as the frailty threshold in screening contexts.
Formula: TFI total = physical (0-8) + psychological (0-4) + social (0-3), range 0-15; common frailty threshold >=5.
The TFI is a multidomain self-report instrument with commonly used frailty threshold around >=5, though performance varies by population.
Higher TFI totals indicate broader multidomain frailty vulnerability and support interdisciplinary follow-up.
Use for older adults in community, primary-care, and outpatient geriatric screening pathways where social and psychological frailty dimensions matter.
Self-report dependence can introduce response bias, and threshold performance may vary by language, setting, and population.
For related assessments, see Groningen Frailty Indicator, FRAIL Scale and Clinical Frailty Scale.
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
Screen multidomain frailty with the 15-item GFI; scores >=4 are commonly considered frailty-positive.
GeriatricsScreen frailty using the 5-item FRAIL scale (Fatigue, Resistance, Ambulation, Illnesses, Loss of weight).
GeriatricsAssess frailty using the Rockwood Clinical Frailty Scale (CFS 1–9): Very Fit to Terminally Ill. Used for ICU triage, surgical risk stratification, and goals-of-care discussions in elderly patients.
GeriatricsScreen vulnerability in adults aged 65+ with VES-13; scores >=3 indicate elevated risk of functional decline.