Which type of footwear do you wear often? *

Trainers

Shoes

Sandals/Flip Flops

Sliders/Crocs

Barefoot

Heels

Other

What terrain do you walk or run on? *

Road

Grass/Woods

Soft/Sand

Other

Do you buy men’s or women’s shoes? *

Mens

Womens

Do you wear different sizes for different shoes? *

Yes

No

Not Sure

How do your toes look when standing? *

Compressed

Slightly constricted

Moderately spaced

Fully spaced

Do you have any bunions on your big toe or little toe? *

Severe / awaiting surgery

Minor / mild

No idea (don’t know what bunions are)

No bunions

Do you know your arch type? *

Low arch

Medium arch

High arch

Not sure

Are you able to lift your toes up when standing without losing your balance? *

Yes

No

Not sure

If you stand for more than 30 minutes do you get joint pain or back pain? *

Yes

No

Do you wear heels? *

Yes

I used to

No

First Name *

Last Name *

Email *

Phone *

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