UPPER EXTREMITY Functional Index (UEFI)
We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your UPPER LIMB problem for which you are currently seeking attention. Please provide an answer for each activity.
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Email *
Last Name, First Name (Legal Name) *
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Rate your pain level with activity
No Pain
Very Severe Pain
Clear selection
TODAY DO YOU OR WOULD YOU HAVE ANY DIFFICULTY AT ALL WITH THE FOLLOWING ACTIVITIES *
0 Extreme difficulty of unable to perform activity
1 Quite a bit of difficulty
2. Moderate difficulty
3. A little bit of difficulty
4. No difficulty
Any of your usual work, housework or school activities.
Your usual hobbies, recreational or sporting activities.
Lifting a bag of groceries to waist level
Lifting a bag of groceries above your head
Grooming your hair
Pushing up on your hands (eg from bathtub
Preparing food (eg peeling, cutting)
Driving
Vacuuming, sweeping or raking
Dressing
Doing up buttons
Using tools or appliances
Opening doors
Cleaning
Tying or lacing shoes
Sleeping
Laundering clothes (eg washing, ironing,
Opening jar
Throwing a ball
Carrying a small suitcase with your affected limb
Index Score OUT OF 80
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