Patient-Specific Functional Scale

A patient-centred outcome measure where patients identify and rate activities important to them that they find difficult due to their condition.

Instructions:

List up to 5 activities important to your daily life that you find difficult due to your condition. Rate each activity from 0 (unable to perform) to 10 (same level as before your injury).

Patient-Specific Functional Scale

Add activities and rate your difficulty

Type: ratings-list

Patient Watch Form - 4/2/2026