Do you have pain in your feet? Yes No
Are you are on your feet all day? Yes No
Do you have skin or nail problems (ingrown or discoloured toenails, corns, skin rashes, areas of hard skin)? Yes No
4.
Do you have any sores on your feet that are not healing? Yes No
5.
Do you have foot odour? Yes No
6.
Do you have a foot injury? Yes No
7.
Do you have health problems such as diabetes?
Yes No
8.
Do you trip or fall often?
9.
Do you have problems finding shoes that fit comfortably?
10.
Do you have lumps or bumps, bunions or misshapen toes?
11.
Do you regularly wear heels that are two inches or higher?
12.
Does having sore feet prevent you from walking?
13.
Have you ever seen a podiatrist because of sore feet?
14.
Have you ever seen a podiatrist for a foot problem?