Questionnaire – FAOS

FAOS FOOT AND ANKLE SURVEY

INSTRUCTIONS: This survey asks for your view about your foot/ankle. This information will help us keep track of how you feel about your foot/ankle and how well you are able to do your usual activities.

Answer every question by ticking the appropriate box, only one box for each question. If you are uncertain about how to answer a question, please give the best answer you can.

SYMPTOMS
These questions should be answered thinking of your foot/ankle and difficulties during the last week.

STIFFNESS
The following questions concern the amount of joint stiffness you have experienced during the last week in your foot/ankle. Stiffness is a sensation of restriction or slowness in the ease with which you move your joints.

PAIN

What amount of foot/ankle pain have you experienced the last week during the following activities?

FUNCTION, DAILY LIVING
The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your foot/ankle.

For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your foot/ankle.

For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your foot/ankle.

FUNCTION, SPORTS AND RECREATIONAL ACTIVITIES
The following questions concern your physical function when being active on a higher level. The questions should be answered thinking of what degree of difficulty you have experienced during the last week due to your foot/ankle.

QUALITY OF LIFE

Thank you very much for completing all the questions in this questionnaire.