Lower Extremity Functional Scale (LEFS)

  • Lower Extremity Functional Scale

    Outcome Measure for insurance purposes and data tracking.
  • Date*
     - -

  • Description: This survey is meant to help us obtain information from our patients regarding their current levels of discomfort and capability.

    Please circle the answers below that best apply.
  • Any of your usual work, housework, or school activities*
  • Your usual hobbies, recreational or sporting activities*
  • Getting into or out of the bath*
  • Walking between rooms*
  • Putting on your shoes or socks*
  • Squatting*
  • Lifting an object, like a bag of groceries from the floor*
  • Performing light activities around your home*
  • Performing heavy activities around your home*
  • Getting into or out of a car*
  • Walking 2 blocks*
  • Walking 1 mile*
  • Going up or down 10 stairs (About 1 flight of stairs)*
  • Standing for 1 hour*
  • Sitting for 1 hour*
  • Running on even ground*
  • Running on uneven ground*
  • Making sharp turns while running fast*
  • Hopping*
  • Rolling over in bed*
  •  
  • Should be Empty: