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Foot Function Index
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Use our readymade template to create your Foot Function Index (FFI) assessment tool for foot pain

Create your care assessments

FFI Score FFI Score (in %) Proposed treatment
0-34 0-20% May not need treatment
35-68 21-40% Consider physical therapy
69-102 41-60% Consider medication
103-136 61-80% Consider surgery
137-170 81-100% Immediate initiation
  • navigate_next Prebuilt template with FFI scoring to assess the presence of foot pain and measure its severity
  • navigate_next 23-item questionnaire that scores each item on a scale from 0 to 10
  • navigate_next Real-time calculation of FFI Score and FFI Score (in %) 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 foot pain
  • 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 Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
Doctor's Name Dr. Smith
Location New York
1. In the morning upon taking your first step? 5
2. When walking? 6
3. When standing? 4
4. How is your pain at the end of the day? 7
5. How severe is your pain at its worst? 8
6. When walking in the house? 3
7. When walking outside? 2
8. When walking four blocks? 1
9. When climbing stairs? 2
10. When descending stairs? 3
11. When standing tip toe? 4
12. When getting up from a chair? 5
13. When climbing curbs? 6
14. When running or fast walking? 7
15. Use an assistive device (cane, walker, crutches, etc) indoors? 8
16. Use an assistive device (cane, walker, crutches, etc) outdoors? 9
17. Limit physical activities? 10
FFI Score 85
FFI Score (in %) 50
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the FFI assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their FFI assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their FFI assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your FFI assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their FFI score, diagnosis, next steps when they submit their FFI assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. In the morning upon taking your first step? 5 5 85
3 John W 2. When walking? 6 6 85
4 John W 3. When standing? 4 4 85
5 John W 4. How is your pain at the end of the day? 7 7 85
6 John W 5. How severe is your pain at its worst? 8 8 85
7 John W 6. When walking in the house? 3 3 85
8 John W 7. When walking outside? 2 2 85
9 John W 8. When walking four blocks? 1 1 85
10 John W 9. When climbing stairs? 2 2 85
11 John W 10. When descending stairs? 3 3 85
12 John W 11. When standing tip toe? 4 4 85
13 John W 12. When getting up from a chair? 5 5 85
14 John W 13. When climbing curbs? 6 6 85
15 John W 14. When running or fast walking? 7 7 85
16 John W 15. Use an assistive device (cane, walker, crutches, etc) indoors? 8 8 85
17 John W 16. Use an assistive device (cane, walker, crutches, etc) outdoors? 9 9 85
18 John W 17. Limit physical activities? 10 10 85
  • navigate_next Export patient responses including the calculated FFI score and FFI score (in %) to Google Sheets for easy record-keeping
  • navigate_next Export individual points for each item 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 pain symptoms
  • navigate_next Receive a copy of the response and the calculated FFI score by email whenever a patient submits their FFI assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
1. In the morning upon taking your first step?: 5
2. When walking?: 6
3. When standing? : 4
4. How is your pain at the end of the day? : 7
5. How severe is your pain at its worst?: 8
6. When walking in the house?: 3
7. When walking outside? : 2
8. When walking four blocks? : 1
9. When climbing stairs?: 2
10. When descending stairs?: 3
11. When standing tip toe?: 4
12. When getting up from a chair?: 5
13. When climbing curbs?: 6
14. When running or fast walking?: 7
15. Use an assistive device (cane, walker, crutches, etc) indoors?: 8
16. Use an assistive device (cane, walker, crutches, etc) outdoors?: 9
17. Limit physical activities?: 10
FFI Score: 85
FFI Score (in %): 50
FFI Score: 85
  • navigate_next Create a HIPAA compliant FFI 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 FFI form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in FFI 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 31, 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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Foot Care assessments
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