I am conducting a survey of list members to determine the percentages of particular types of foot problems and ailments. I will post the results to the list. Thanks.
John Vonhof
vonhof@pacbell.net
( ) Male
( ) Female
( ) Age
1. Put an “X” next to anything listed below that you currently have.
2. Put an “O” next to any that you have had in the past but that no longer bothers you.
( ) Achilles Tendonitis
( ) Athlete’s Foot
( ) Black Toenails
( ) Blisters – occasionally
( ) Blisters – regularly
( ) Bunions
( ) Bursitis
( ) Calluses
( ) Corns
( ) Dislocated toes
( ) Excessive foot perspiration
( ) Flat feet
( ) Foot surgery for _____________________
( ) Fractured bone or bones in the foot
( ) Hammer Toes
( ) Heel pain
( ) Ingrown toenail
( ) Ligament injury
( ) Metatarsalgia
( ) Morton’s Neuroma
( ) Morton’s Foot – the second toe is longer than the big toe
( ) Numb Toes and Feet – Peripheral Neuropathy
( ) Numb Toes and Feet – Transient Parasthesia
( ) Perfect feet – no problems
( ) Plantar Fasciitis
( ) Plantar Warts
( ) Pronation
( ) Sesamoiditis
( ) Sprained ankle, number of times ( )
( ) Stress fracture
( ) Supination
( ) Tendon injury
( ) Toenails came off or were removed
( ) Toenail fungus
( ) I wear orthotics
( ) Other: