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How to fill out the Functional Assessment Questionnaire online
The Functional Assessment Questionnaire is a crucial tool used to evaluate an individual's ability to perform daily activities. This guide provides comprehensive instructions to help users fill out the questionnaire online accurately and efficiently.
Follow the steps to complete the Functional Assessment Questionnaire online.
- Press the ‘Get Form’ button to access the Functional Assessment Questionnaire form and open it for completion.
- Begin by entering the evaluation, progress, or discharge date in the designated field at the top of the form. This helps to provide context for the assessment.
- Record the number of visits in the appropriate space. This may indicate how many assessments have been conducted.
- Input the patient’s name in the designated field. Ensure the name is accurate as it identifies the individual being assessed.
- In the 'Dx' field, enter the diagnosis of the patient. This provides essential context for the functional abilities being assessed.
- Using the provided key, circle the appropriate number for each activity listed to indicate the individual’s ability to perform them. The scale ranges from '0' for unable to '4' for normal.
- After assessing the different activities such as sleep, mobility, and daily tasks, evaluate the level of pain experienced over the past week using the pain scale provided.
- Once all sections are complete, review the form for accuracy and save the changes to ensure no information is lost.
- Finally, you can download, print, or share the completed form as needed for your records or further assessment.
Start filling out the Functional Assessment Questionnaire online today to assess and support your needs.
Completing a functional assessment involves gathering information about an individual’s daily activities and needs. You can use the Functional Assessment Questionnaire as a structured guide, ensuring no important areas are overlooked. Engage the individual in conversation, and encourage them to express their capabilities and challenges. This collaborative approach leads to a more accurate and insightful assessment.
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