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  1. This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Clinician to read and fill in below: …

  2. Clinician to read and fill in below: Complete at the end of the history and prior to physical examination. I am going to ask you to identify up to three important activities that you are …

  3. Particularly helpful for detecting change in a given individual – especially at 1-yr post-op. Functioning is a patient-specific concept that may differ greatly between patients.

  4. Please rate each of these problems on the 0-10 scale below. 0 = Able to perform activity at the same level as before injury or problem (No issues) 10 = Unable to perform activity (Cannot …

  5. Ask the patient to list and score at least 3 activities that they are unable to perform or have the most difficulty performing, because of their chief complaint.

  6. The Patient Specific Functional Score (PSFS) is an outcome measure which assists in identifying activities impaired by illness or injury and provides a measure of clinical outcome that has …

  7. This useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Clinician to read and fill in below: …

  8. Patient Specific Functional Scale - Carepatron

    Aug 1, 2025 · Read about Patient Specific Functional Scale (PSFS) and understand its use. Download a free PDF template and example for your own use.

  9. Patient-Specific Functional Scale (PSFS) – Complete Explanation + PDF

    Oct 17, 2025 · Below are downloadable resources offering the Patient Specific Functional Scale PDF in both the original and English versions, designed to facilitate accurate assessment and …

  10. Please list up to three important activities that you have the most difficulty with as a result of the problem we are seeing you for today, and rate each using the scale below.