Get The Lower Extremity Functional Scale - Firstcare Walk-in Medical Center

The Lower Extremity Functional Scale is a vital tool used to assess the functional abilities of individuals experiencing lower limb problems. This guide will provide you with clear, step-by-step instructions to complete this important form online with ease.

Follow the steps to fill out the form accurately and effectively.

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred editor.
2. Begin by entering your full name in the designated field. This helps to identify who is completing the assessment.
3. Next, input the current date in the provided area to document when the form is filled out.
4. Read carefully through each activity listed, as the form asks whether you experience any difficulty with these tasks due to your lower limb problem.
5. For each activity, select an option that best describes your level of difficulty ranging from ‘No Difficulty’ to ‘Extreme Difficulty or Unable to Perform Activity’. Mark your choice clearly.
6. Make sure to answer every activity on the list to provide a comprehensive overview of your functional capabilities.
7. Once you have finished selecting difficulties for each activity, calculate the score based on your responses and write it in the SCORE section.
8. Finally, sign the form in the designated area to validate your responses.
9. After completing the form, you can save changes, download a copy for your records, print it out, or share it as needed.

Complete your Lower Extremity Functional Scale form online today to ensure your functional assessment is recorded accurately.