Skip to main content
. Author manuscript; available in PMC: 2016 Apr 27.
Published in final edited form as: Gynecol Oncol. 2010 Feb 16;117(2):317–323. doi: 10.1016/j.ygyno.2010.01.022
1. Do you have limited movement of your hip? Yes □ No □
2. Do you have limited movement of your knee? Yes □ No □
3. Do you have limited movement of your ankle? Yes □ No □
4. Do you have limited movement of your foot? Yes □ No □
5. Do you have limited movement of your toes? Yes □ No □
6. Does your leg or foot feel weak? Yes □ No □