Get Foot/ankle Disability Index - Ptefit.com

The FOOT/ANKLE DISABILITY INDEX is an important tool designed to assist physical therapists in understanding how foot and ankle pain impacts daily living activities. This guide provides clear, step-by-step instructions on how to effectively complete the form online to ensure accurate information is conveyed.

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

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin with your name and the date at the top of the form. Fill in the required fields with accurate personal information.
3. Proceed to Section 1 — Pain Intensity. Select the option that best describes your current level of pain by marking the corresponding box.
4. Move to Section 2 — Standing. Choose the statement that most closely matches your ability to stand, indicating any limitations.
5. Continue to Section 3 — Walking/Weight Bearing Tolerance. Indicate your ability to walk within given parameters, marking the appropriate box.
6. Next, in Section 4 — Climbing Stairs, select the choice that reflects your capability to navigate stairs safely.
7. In Section 5 — Swelling, identify your current swelling status after activities and mark the applicable option.
8. Advance to Section 6 — Work. Indicate your current functional status in relation to your work responsibilities.
9. Then, navigate to Section 7 — Driving. Mark the response that accurately describes how your condition affects your ability to drive.
10. Proceed to Section 8 — Sleeping. Choose the option that best outlines your sleep disturbance due to foot/ankle pain.
11. In Section 9 — House & Yard Work, reflect on your ability to manage household tasks, checking the statement that applies to you.
12. Lastly, complete Section 10 — Recreation/Sports by selecting the option that describes how your symptoms affect your participation in recreational activities.
13. At the end of the form, mark an ‘X’ on the pain scale to quantify your pain level experienced over the past 24 hours.
14. Finally, once all sections are completed, ensure all responses are accurate before saving changes, downloading, printing, or sharing the form as needed.

Complete your forms online to facilitate better management of your foot and ankle conditions.