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The Foot & Ankle Disability Index (FADI) Score

The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

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Kashish Maggu
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1K views1 page

The Foot & Ankle Disability Index (FADI) Score

The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

Uploaded by

Kashish Maggu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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The Foot & Ankle Disability Index(FADI) Score

Patient's Name__________________________ Clinician's Name_____________________________


Date:___________
Please answer every question with one response that most closely describes your condition within the past week.
If the ativity in question is limited by something other than your foot or ankle, write N/A.
No difficulty Slight Moderate Extreme Unable
at all(4) difficulty(3) difficulty(2) difficulty(1) to do(0)
1. Standing O O O O O
2. Walking on even ground O O O O O
3. Walking on even ground without shoes O O O O O
4. Walking up hills O O O O O
5. Walking down hills O O O O O
6. Going up stairs O O O O O
7. Going down stairs O O O O O
8. Walking on uneven ground O O O O O
9. Stepping up and down curbs O O O O O
10. Squatting O O O O O
11. Sleeping O O O O O
12. Coming up to your toes O O O O O
13. Walking initially O O O O O
14. Walking 5 minutes or less O O O O O
15. Walking approximately 10 minutes O O O O O
16. Walking 15 minutes or greater O O O O O
17. Home responsibilities O O O O O
18. Activities of daily living O O O O O
19. Personal care O O O O O
20. Light to moderate work (standing, walking) O O O O O
21. Heavy work (push/pulling, climbing, carrying) O O O O O
22. Recreational activities O O O O O

No Pain Mild Moderate Severe Unbearable


23. General level of pain O O O O O
24. Pain at rest O O O O O
25. Pain during normal activity O O O O O
26. Pain first thing in the morning O O O O O

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