Form preview

Get the free Lower Extremity Functional Index - Sharing Knowledge

Get Form
Ancestry Disability Index Patient name: File # Date: This questionnaire has been designed to give the doctor information as to how your back pain has affected your ability to manage everyday life.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign lower extremity functional index

Edit
Edit your lower extremity functional index form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your lower extremity functional index form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit lower extremity functional index online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to take advantage of the professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit lower extremity functional index. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out lower extremity functional index

Illustration

How to fill out lower extremity functional index

01
To fill out the Lower Extremity Functional Index (LEFI), follow these steps:
02
Start by accessing the LEFI questionnaire form.
03
Read the instructions provided on the form to understand how to answer the questions.
04
There are 20 different items on the LEFI questionnaire, each representing a different activity or task related to lower extremity function.
05
For each item, rate your level of difficulty in performing the activity on a scale of 0 to 4, where 0 represents no difficulty and 4 represents extreme difficulty or inability to perform the activity.
06
Consider your current ability to perform each activity, taking into account any pain, discomfort, or limitations you may have in your lower extremities.
07
Mark the appropriate score for each item on the form.
08
Once you have completed all 20 items, calculate your total score by adding up the scores for each item.
09
The total score can range from 0 to 80, with a higher score indicating greater difficulty in performing lower extremity activities.
10
Use the total score to assess your current level of lower extremity function and track changes over time.
11
Consult with a healthcare professional if you have any questions or concerns about filling out the LEFI questionnaire.

Who needs lower extremity functional index?

01
The Lower Extremity Functional Index (LEFI) is typically used by healthcare professionals, researchers, and clinicians to assess the functional status of individuals with lower extremity injuries or conditions.
02
It may be useful for individuals who have experienced lower extremity injuries, such as sprains, strains, fractures, or surgeries, and want to evaluate their current functional abilities.
03
Doctors, physical therapists, and rehabilitation specialists often utilize the LEFI to gather data on patients' lower extremity function, monitor progress, and guide treatment plans.
04
Researchers may also use the LEFI to collect standardized data on lower extremity function in specific populations and evaluate the outcomes of various interventions or treatment approaches.
05
Overall, anyone seeking to assess and quantify their lower extremity function can benefit from using the LEFI questionnaire.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
49 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. You won’t have any trouble finding state-specific lower extremity functional index and other forms in the library. Find the template you need and customize it using advanced editing functionalities.
Yes. By adding the solution to your Chrome browser, you can use pdfFiller to eSign documents and enjoy all of the features of the PDF editor in one place. Use the extension to create a legally-binding eSignature by drawing it, typing it, or uploading a picture of your handwritten signature. Whatever you choose, you will be able to eSign your lower extremity functional index in seconds.
It's easy to make your eSignature with pdfFiller, and then you can sign your lower extremity functional index right from your Gmail inbox with the help of pdfFiller's add-on for Gmail. This is a very important point: You must sign up for an account so that you can save your signatures and signed documents.
Lower extremity functional index is a questionnaire used to assess the functional status of individuals with lower extremity musculoskeletal conditions.
Patients with lower extremity musculoskeletal conditions are required to fill out the lower extremity functional index.
Lower extremity functional index is typically filled out by answering a series of questions related to the individual's ability to perform daily activities.
The purpose of lower extremity functional index is to assess the functional limitations and improvements in individuals with lower extremity musculoskeletal conditions.
The information reported on lower extremity functional index includes the individual's ability to perform activities such as walking, stair climbing, and standing.
Fill out your lower extremity functional index online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.