Follow the steps to successfully complete the FOOT/ANKLE DISABILITY INDEX.

1. Click the ‘Get Form’ button to access the FOOT/ANKLE DISABILITY INDEX and open it for completion.
2. Begin by entering your name and the date at the top of the form. Ensure all information is accurate to facilitate proper assessment.
3. Carefully read each section and mark the box that most closely reflects your current experience. Begin with Section 1 – Pain Intensity, where you will evaluate the severity of your pain.
4. Continue to Section 2 – Standing, and assess your ability to stand for different durations. Choose the option that best describes your experience.
5. In Section 3 – Walking/Weight Bearing Tolerance, indicate how your foot or ankle pain affects your ability to walk, with or without assistive devices.
6. Move to Section 4 – Climbing Stairs, and evaluate your ability to navigate stairs under various circumstances.
7. Assess swelling in Section 5 – Swelling. Mark the option that best represents your situation during activities.
8. In Section 6 – Work, reflect on how your foot or ankle condition influences your capacity to perform job-related tasks.
9. Proceed to Section 7 – Driving, and indicate how your foot or ankle pain impacts your ability to drive.
10. In Section 8 – Sleeping, express how foot or ankle pain disturbs your sleep through the provided options.
11. For Section 9 – House & Yard Work, assess your ability to manage household tasks and mark the most appropriate option.
12. Lastly, review Section 10 – Recreation/Sports, where you will consider how pain affects your participation in leisure activities.
13. After completing all sections, please focus on the pain scale provided at the end. Mark an ‘x’ on the line to indicate your pain level over the past 24 hours.
14. Finally, save your changes, and utilize the options to download, print, or share the completed form as needed.

Complete your FOOT/ANKLE DISABILITY INDEX online today to facilitate improved care and understanding.