questionnaire about the left side of their body 5 Please tick one box The respondent for each statement. should enter a tick (check/mark) in one box only for each statement. In countries where it is more common to enter a cross, the term may be used ‘cross’ instead, with an X During the past 4 instead of 6* All the questions relate weeks this has Q1 to within the four applied to me: weeks leading up to – 14 the day when the FA questionnaire is filled & in. Foot has applied to ‘this me’: the respondent has experienced the following statement during the past four 7 I have pain in my The week respondent period. foot/ankle has pain in their 1 foot or ankle. Pain: An unpleasant physical sensation ranging from mild discomfort to agonising distress. 8 I have pain in my foot The respondent Q1 has pain in their Foot foot.
questionnaire about the left side of their body 5 Please tick one box for each statement. The respondent should enter a tick (check/mark) in one box only for each statement. In countries where it is more common to enter a cross, the term ‘cross’ may be used instead, with an X instead of 6* Q1 – 14 FA & Foot During the past 4 All the questions relate to within the four weeks leading up to the day when the questionnaire is filled in. ‘this has applied to me’: the respondent has experienced the following statement during the past four week period. weeks this has applied to me: 7 I have pain in my foot/ankle The respondent has pain in their foot or ankle. Pain: An unpleasant physical sensation ranging from mild discomfort to agonising distress. 8 Q1 Foot I have pain in my foot The respondent has pain in their foot. 1
Concept-Elaboration-of-the-MOxFQ.docx