Form 3 -
Lower limb issue form
Complete this form if you:
Have already been to Coogee Bay Physio (if not please complete form 1)
Have an issue with your legs, leg joints, leg function or feet.
About this form:
We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb Problem for which you are currently seeking attention. Please provide an answer for each activity.
To discuss further or learn more about our clinic and treatment options please don’t hesitate to get in touch with us by clicking here.
Or, call us on (02) 9665 9667 during business hours.
Index source: The Lower Extremity Functional Scale: Scale development, measurement properties, and clinical application, Physical Therapy, 1999, 79, 4371-383.