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Feet Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you have any foot pain?
Select yes if you have foot pain, otherwise select no.
Yes
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.
Never
Rarely
Occasionally
Frequently
Always
5
Do you engage in regular foot exercises?
Answer whether you engage in regular foot exercise routines.
Yes
No
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.
Yes
No
8
How often do you elevate your feet to reduce swelling?
Please select how often you elevate your feet to reduce swelling.
Never
Rarely
Occasionally
Frequently
Always
9
What is your preferred footwear choice?
Please indicate your preferred type of footwear.
Sneakers
Sandals
Flats
Heels
Boots
10
How often do you moisturize your feet?
Select the frequency of moisturizing your feet.
Never
Rarely
Occasionally
Frequently
Daily
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