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Feet Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

Do you have any foot pain?

Select yes if you have foot pain, otherwise select no.
2

Rate the overall health of your feet

Please rate the overall health of your feet from 1 to 10.
3

Describe any specific foot issues you are currently experiencing

Please provide details about any foot issues you are facing.
4

How often do you wear uncomfortable shoes?

Please select the frequency of wearing uncomfortable shoes.
5

Do you engage in regular foot exercises?

Answer whether you engage in regular foot exercise routines.
6

Rate the level of support of your current footwear

Please rate the level of support your current footwear provides from 1 to 10.
7

Have you ever had a professional foot massage?

Select yes if you have had a professional foot massage, otherwise select no.
8

How often do you elevate your feet to reduce swelling?

Please select how often you elevate your feet to reduce swelling.
9

What is your preferred footwear choice?

Please indicate your preferred type of footwear.
10

How often do you moisturize your feet?

Select the frequency of moisturizing your feet.