The MISA is an evaluation tool that focuses on the ability of a patient to consume a variety of food and liquid textures safely and independently. The MISA will be of great interest to occupational therapists because of its emphasis on function, rather than physiologic assessment. The goal of the MISA is to provide the therapist with information pertaining to an individual's day to day function, and to quantify an individual's Ingestive skills reliably and validly. This will guide the therapist to areas that are amenable to rehabilitation in a client-centred and purposeful manner. This manual contains pertinent information on the MISA development, psychometric testing, instructions for use and scoring. Handy symbols are used throughout to guide the user efficiently through the manual and assessment form. For your convenience, each manual comes with 20 assessment forms.