Foot/Ankle Pain Screening Quiz Question Title Please provide us with your full name and email address. Name Email Address Question Title Have you experienced foot/ankle pain in recent years? Yes No Question Title Did you have to stop working? Yes No Question Title Does the problem affect your function or social life (e.g. sports, home life, relationships, etc.?) Yes No Question Title Do you have difficulty or increased foot/ankle pain with standing for greater than 30 minutes? Yes No Question Title Do you have difficulty or increased foot/ankle pain with walking for greater than 15 minutes? Yes No Question Title Do you have difficulty or increased foot/ankle pain when going up and down the stairs? Yes No Question Title Have you tried other treatment options (drugs, exercise, surgery, etc.) without full recovery? Yes No Question Title Would you like some help with your current situation? Yes No Next