Internal environmental factors (ICF) include which of the following?

• A. Attitude of patient
• B. Environmental factors and personal factors
• C. Ramp and stairs
• D. Products and technology

Answer: (A)

Personal factors are internal characteristics that influence how a person functions. Attitude of the patient is a clear example of a personal factor, a mental or motivational attribute that exists inside the person and can affect engagement, coping, and response to disability.

In contrast, ramp and stairs and products and technology describe external environmental factors—things in the surroundings that can enable or hinder function. The option mentioning environmental factors and personal factors combines two categories rather than identifying a single internal attribute, so it doesn’t describe an internal factor.