Foot and Ankle Ability Measure
21 reviews
21K+
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Use our readymade template to create your Foot and Ankle Ability Measure (FAAM) assessment tool

Create your care assessments

FAAM score Severity Proposed treatment
80-100% Minimal May not need treatment
60-79% Mild Physical therapy
40-59% Moderate Consider surgery
20-39% Severe Surgery
0-19% Very severe Immediate initiation
  • navigate_next Prebuilt template with FAAM scoring to assess the presence of foot and ankle disorders and measure their severity
  • navigate_next 21-item questionnaire that scores each item from “0” (Unable) to “4” (None at all)
  • navigate_next Real-time calculation of FAAM Score based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of the disorder
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1004
Patient Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
Doctor's Name Dr. Smith
Location New York
Select the difficult level for each activity
1. Standing None at all
2. Walking on even ground Slight
3. Walking on even ground without shoes Moderate
4. Walking up hills Extreme
5. Walking down hills Unable
6. Going up stairs None at all
7. Going down stairs Slight
8. Walking on uneven ground Moderate
9. Stepping up and down curves Extreme
10. Squatting Unable
11. Coming up to your toes None at all
12. Walking initially Slight
13. Walking 5 minutes or less Moderate
14. Walking approximately 10 minutes Extreme
15. Walking 15 minutes or greater Unable
16. Home responsibilities None at all
17. Activities of daily living Slight
18. Personal care Moderate
19. Light to moderate work (standing, walking) Extreme
20. Heavy work (push/pulling, climbing, carrying) Unable
21. Recreational activities None at all
FAAM Score (in %) 60
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the FAAM assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their FAAM assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their FAAM assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your FAAM assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their FAAM score, diagnosis, next steps when they submit their FAAM assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. Standing None at all 4 60
3 John W 2. Walking on even ground Slight 3 60
4 John W 3. Walking on even ground without shoes Moderate 2 60
5 John W 4. Walking up hills Extreme 1 60
6 John W 5. Walking down hills Unable 0 60
7 John W 6. Going up stairs None at all 4 60
8 John W 7. Going down stairs Slight 3 60
9 John W 8. Walking on uneven ground Moderate 2 60
10 John W 9. Stepping up and down curves Extreme 1 60
11 John W 10. Squatting Unable 0 60
12 John W 11. Coming up to your toes None at all 4 60
13 John W 12. Walking initially Slight 3 60
14 John W 13. Walking 5 minutes or less Moderate 2 60
15 John W 14. Walking approximately 10 minutes Extreme 1 60
16 John W 15. Walking 15 minutes or greater Unable 0 60
17 John W 16. Home responsibilities None at all 4 60
18 John W 17. Activities of daily living Slight 3 60
19 John W 18. Personal care Moderate 2 60
20 John W 19. Light to moderate work (standing, walking) Extreme 1 60
21 John W 20. Heavy work (push/pulling, climbing, carrying) Unable 0 60
22 John W 21. Recreational activities None at all 4 60
  • navigate_next Export patient responses including the calculated FAAM score to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 21 items to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their foot and ankle disorders
  • navigate_next Receive a copy of the response and the calculated FAAM score by email whenever a patient submits their FAAM assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1004
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
Select the difficult level for each activity
1. Standing:None at all
2. Walking on even ground:Slight
3. Walking on even ground without shoes:Moderate
4. Walking up hills:Extreme
5. Walking down hills:Unable
6. Going up stairs:None at all
7. Going down stairs:Slight
8. Walking on uneven ground:Moderate
9. Stepping up and down curves:Extreme
10. Squatting:Unable
11. Coming up to your toes:None at all
12. Walking initially:Slight
13. Walking 5 minutes or less:Moderate
14. Walking approximately 10 minutes:Extreme
15. Walking 15 minutes or greater:Unable
16. Home responsibilities:None at all
17. Activities of daily living:Slight
18. Personal care:Moderate
19. Light to moderate work (standing, walking):Extreme
20. Heavy work (push/pulling, climbing, carrying):Unable
21. Recreational activities:None at all
FAAM Score (in %): 60
FAAM Score (in %): 60
  • navigate_next Create a HIPAA compliant FAAM assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting FAAM form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in FAAM assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

February 16, 2024

1 stars

Does not work

— Myles Sicuro

October 30, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

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