We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • The Foot Health Status Questionnaire

Get The Foot Health Status Questionnaire

THE FOOT HEALTH STATUS QUESTIONNAIRE Version 1.03 Thank you for taking the time to fill out this important questionnaire. The answers you provide will help your podiatrist to understand how to care.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the THE FOOT HEALTH STATUS QUESTIONNAIRE online

Completing the foot health status questionnaire is essential for your podiatrist to assess your foot health effectively. This guide provides a step-by-step approach to help you navigate through the online form with ease and confidence.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to acquire the questionnaire and open it in your preferred online editor.
  2. Begin by reading the introductory section, which outlines the purpose of the questionnaire and reassures you that there are no right or wrong answers.
  3. Carefully review the first section regarding foot pain experienced in the past week. Circle the number that best represents your experience for each question.
  4. Proceed to the section that assesses how foot health has interfered with daily activities. Again, circle the appropriate number for each question.
  5. Evaluate questions related to the condition of your shoes, circling the number that accurately reflects your situation.
  6. Provide your overall foot health rating by circling the corresponding number.
  7. Answer the general health questions, ensuring that you circle a number for questions regarding your overall health and limitations in activities.
  8. Fill out the personal details section, including your full name, address, date of birth, and the date of completing the survey.
  9. Indicate any medicines you are currently taking for specific conditions by ticking the relevant boxes.
  10. Respond to the final questions by ticking either YES or NO, as applicable.
  11. Once all fields are completed, save your changes. You can also download, print, or share the questionnaire as needed.

Begin completing the THE FOOT HEALTH STATUS QUESTIONNAIRE online today to ensure you receive the best care for your foot health.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Brazilian version of the foot health status...
Objective: To conduct a cross-cultural adaptation of the Foot Health Status Questionnaire...
Learn more
Measures of foot function, foot health, and foot...
... Foot Health Status Questionnaire (FHSQ), Manchester Foot Pain and Disability Index...
Learn more
Tuberculosis Exposure Risk Assessment
Tuberculosis risk assessment, based on above responses ... Since your last Tuberculosis...
Learn more

Related links form

Accident Investigation Forms/statements Should Be Filled Out By The Injured Employee, Supervisor Or Ms Blood Guardian Premission Form Fillable Census Forms Yatri Vac

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Examples include functional health, disability days, activity limitation, health expectancy, disability free life expectancy.

Surveys and questionnaires enable patients to speak up and healthcare providers to listen, as they gather information that can't be picked up by a stethoscope in an examination. While some patients may shy from providing feedback in person, surveys offer a chance to do so privately.

The Health Status Questionnaire 2.0, or HSQ, is a method for measuring health attributes, health status change, and risk of depression.

The Bristol Foot Score reflects patients' perceptions of their own foot health, providing a useful additional tool for evaluating the efficacy of interventions and describing foot health within populations.

Health status is a measure of how people perceive their health—rating it as excellent, very good, good, fair, or poor. Reported health status is a predictor of important health outcomes including mortality, morbidity, and functional status (1–4). It is considered a good global assessment of a person's well-being (4).

The SF-36 is a structured, self-report questionnaire that the patient can generally complete with little or no intervention from an interviewer. However, patients with visual or upper extremity impairments may need to have the SF-36 administered as an interview.

For the Foot Health Status Questionnaire the following minimal important differences were found: 14 for pain, 7 for function and 9 for general foot health. Similar results were found for the Foot Function Index: 12 for pain, 7 for disability and 7 for Total Foot Function Index.

The Foot Health Status Questionnaire (FHSQ) is a valid and trustworthy instrument about health quality regarding specific foot health, initially developed to assess the results of surgical treatment of common foot diseases [12].

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get THE FOOT HEALTH STATUS QUESTIONNAIRE
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232