MOXFQ
The Manchester-Oxford Foot Questionnaire assesses the outcomes of foot or ankle surgery.
What is the MOXFQ?
The Manchester-Oxford Foot Questionnaire (MOXFQ) is a validated, patient-reported outcome measure specifically designed to assess foot and ankle function. This comprehensive questionnaire evaluates pain, walking ability, and social interaction related to foot problems, making it an essential tool for clinicians treating foot and ankle conditions. Originally developed through rigorous psychometric testing, it has been widely adopted in clinical trials and routine practice across multiple countries.
Scoring System
The MOXFQ uses a 5-point Likert scale (0-4) for each question: 0 = No problem, 1 = Mild problem, 2 = Moderate problem, 3 = Severe problem, 4 = Extreme problem. Domain scores are calculated by summing individual question scores and transforming to a 0-100 scale where 0 represents the best possible health state. Lower scores indicate better outcomes.
General Information
Clinical Information
Instructions
The MOXFQ should be self-administered and takes approximately 5-10 minutes to complete. Patients should be instructed to consider their foot/ankle problems over the past week when answering questions. The questionnaire can be completed on paper, electronically, or via telephone interview.
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MOXFQ
The Manchester-Oxford Foot Questionnaire assesses the outcomes of foot or ankle surgery.
Instructions:
The MOXFQ should be self-administered and takes approximately 5-10 minutes to complete. Patients should be instructed to consider their foot/ankle problems over the past week when answering questions. The questionnaire can be completed on paper, electronically, or via telephone interview.
Side Selection
Pain and Mobility
Daily Activities and Social Impact
Pain Characteristics
Pain Assessment
Patient Watch Form - 10/31/2025
Detailed Scoring Methodology
The MOXFQ uses a 5-point Likert scale (0-4) for each question: 0 = No problem, 1 = Mild problem, 2 = Moderate problem, 3 = Severe problem, 4 = Extreme problem. Domain scores are calculated by summing individual question scores and transforming to a 0-100 scale where 0 represents the best possible health state. Lower scores indicate better outcomes.
Assessment Subscales
Pain
Pain experienced during daily activities
Social Interaction
Impact on social activities and relationships
Walking/Standing
Difficulty with walking and standing activities
Meaningful Change Threshold
A change of 10-15 points in any domain score is considered clinically meaningful. For the total score, a change of 8-12 points represents a meaningful improvement or worsening.
About the Developers
The MOXFQ was developed by a collaborative team from Manchester and Oxford Universities, led by Professor Andrew Garratt and Professor Ray Fitzpatrick. The questionnaire was created specifically for foot and ankle conditions and has been validated across multiple patient populations.
Copyright Information
The Manchester-Oxford Foot Questionnaire is copyrighted by the University of Manchester and Oxford University. Permission for use must be obtained from the copyright holders.
Administration Instructions
The MOXFQ should be self-administered and takes approximately 5-10 minutes to complete. Patients should be instructed to consider their foot/ankle problems over the past week when answering questions. The questionnaire can be completed on paper, electronically, or via telephone interview.
Limitations & Considerations
The MOXFQ focuses specifically on foot and ankle conditions and may not capture all aspects of lower limb function. The questionnaire is self-reported and may be influenced by patient mood, expectations, or external factors. Some patients may find certain questions difficult to interpret.
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