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Lower Extremity Functional Scale Form
Of
Difficulty
Moderate
Difficulty
A Little Bit of
Difficulty
1. Any of your usual work, housework, or school activities
2. Your usual hobbies, recreational activities, or sporting activities
3. Getting into or out of the bath
4. Walking between rooms
5. Putting on your shoes or socks
6. Squatting
7. Lifting an object, like a bag of groceries, from the floor
8. Performing light activities around your home
9. Performing heavy activities around your home
10. Getting into or out of a car
11....
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