Get Functional Assessment Questionnaire - Cole Health

Filling out the Functional Assessment Questionnaire - Cole Health online is a crucial step in assessing your abilities related to specific activities. This guide will provide clear and concise instructions to help you navigate each section of the form effectively.

Follow the steps to complete the Functional Assessment Questionnaire.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
2. Begin by entering your name in the designated field at the top of the form. This identification helps to personalize your assessment.
3. Next, fill in the date on which you are completing the form. Accurate timing will provide context for your assessment.
4. Indicate the number of visits you have had related to your injury or health condition. This information can help healthcare providers understand your history.
5. Proceed to the section of the form that lists various activities. For each activity, select the response that best represents your current ability: circle one of the numbers from 0 (unable) to 4 (normal) or NA (not applicable). Be honest in your assessment as this will significantly impact your care.
6. Complete the pain scale section by circling a number from 0 (no pain) to 10 (worst imaginable pain) that reflects your experience over the past week.
7. Mark the areas of your body where you are experiencing any symptoms. Use the provided key to indicate the type of pain felt in those areas (e.g., pins and needles, burning, stabbing).
8. After completing all sections, review your answers to ensure accuracy. Make any necessary edits.
9. Once you are satisfied with the form, you can save the changes, download a copy for your records, print it out, or share it with your healthcare provider as required.

Complete your Functional Assessment Questionnaire online today to enhance your health management process.