Loading
Get Lower Extremity Functional Scale Pdf
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Lower Extremity Functional Scale Pdf online
The Lower Extremity Functional Scale Pdf is a valuable tool designed to assess the functional abilities of individuals experiencing lower limb issues. This guide provides clear and detailed instructions to help you complete the form effectively and accurately online.
Follow the steps to successfully fill out the Lower Extremity Functional Scale Pdf online.
- Locate the ‘Get Form’ button to obtain the Lower Extremity Functional Scale Pdf, then proceed to open the document in your preferred editing tool.
- Begin by filling in your name in the designated field at the top of the form. This identifies who the assessment is for.
- Record the date of completion, providing context for your responses and when the assessment was performed.
- Indicate your assessment status by circling one of the following options: Initial, ReEval, Update, or Discharge. This information helps clarify the purpose of the evaluation.
- Review the activities listed in the section that assesses difficulties. For each activity, reflect on the level of difficulty you currently face due to your lower limb problem.
- For each of the activities numbered 1 to 20, mark your response according to how much difficulty you experience. Options include: Extreme Difficulty or Unable to Perform, Quite a Bit of Difficulty, Moderate Difficulty, A Little Bit of Difficulty, and No Difficulty.
- Once all the activities have been evaluated, calculate your score based on the responses provided for each activity. This will give an aggregate score out of 80.
- Before finalizing, review all inputs for accuracy and make any necessary adjustments to ensure a complete assessment.
- Finally, save your changes, and choose to download, print, or share the completed form as needed.
Complete your Lower Extremity Functional Scale Pdf online today for a comprehensive assessment of your functional capabilities.
Related links form
The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.