Revised FOOT FUNCTION INDEX (FFI) - BioMed Central_：修订后的足部功能指数（FFI）-生物医学central_.docxVIP

Instrument 1. FFI-R Long FormPAGE Version 3Revised FOOT FUNCTION INDEX (FFI-R)Subject ID: [_____]_____]_____]______] [Date: [___]___] / [___]___] / [___]___]___]PAINPlease read before answering.Please circle the number that indicates how bad your foot pain was in each of the following situations during the past week. For example, when asked how severe your foot pain was at its worst, if you feel “No pain,” circle the number 1 and if you felt “Severe pain,” circle the number 4. If, for some items, the question does not apply, circle the number 5.Please provide an answer for every item.1. DURING THE PAST WEEK, HOW SEVERE WAS YOUR FOOT PAIN: No Mild Moderate Severe Pain pain pain pain 1. Before you get up in the morning? . . . . . . . . . . . . 1 2 3 4 2. When you first stood without shoes? . . . . . . . . . 1 2 3 4 3. When you first walked without shoes? . . . . . . . . 1 2 3 4 4. When you stood wearing shoes? . . . . . . . . . . . . . . 1 2 3 4 5. When you walked wearing shoes? . . . . . . . . . .. . . 1 2 3 4 6. When you stood wearing custom shoe inserts? . . 1 2 3 4 5 = do not use inserts7. When you walked wearing custom shoe inserts? . 1 2 3 4 5= do not use inserts8. At the end of a typical day? . . . . . . . . . . . . . . . . . 1 2 3 4 9. When you had foot cramps? . .. . . . . . . . . . . . . . . 1 2 3 4 10. Before you went to sleep at night? . . . . . . . . . . . 1 2 3 4 11. At its worst? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 Subject ID: [_____]_____]_____]______] STIFFNESSPlease read before answering.Please ci