Central Transport - GelThotics Trial
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GelThotics Trial User's Survey
This survey is being used to compile the results of GelThotics trial users.
1
. How often do you experience foot, knee, or lower back pain?
How often do you experience foot, knee, or lower back pain?
Less than once a month
A few times a month
Once a week or more
2
. What are you doing when you have foot, knee, or lower back pain? Check all that apply.
What are you doing when you have foot, knee, or lower back pain? Check all that apply.
Standing long hours
Walking
Running
Other athletic activities
Wearing high heels
*
3
. In a few words, can you describe your foot, knee, or lower back pain?
In a few words, can you describe your foot, knee, or lower back pain?
4
. Do you find that using GelThotics reduces the pain described above?
Do you find that using GelThotics reduces the pain described above?
No
Somewhat
Very much
5
. Are you using GelThotics in more than one set of shoes? Check all that apply
Are you using GelThotics in more than one set of shoes? Check all that apply
Work Shoes
Dress Shoes
Walking Shoes
Running Shoes
High Heels
6
. Do you find the softness of silicone comfortable?
Do you find the softness of silicone comfortable?
No
Somewhat
Very comfortable
7
. Were you able to notice significant support in such a soft product?
Were you able to notice significant support in such a soft product?
No
Somewhat
Very supportive
8
. Have you worn orthotics before? Check all that apply.
Have you worn orthotics before? Check all that apply.
No
Over the counter
Prescription
How often do you wear orthotics? (please specify)
9
. Does the use of GelThotics make your shoes more comfortable?
Does the use of GelThotics make your shoes more comfortable?
No change
Somewhat
Much more comfortable
10
. Would you recommend GelThotics to co-workers, family and friends?
Would you recommend GelThotics to co-workers, family and friends?
No
Yes
Why? (please specify)
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