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NYSPMA - 2015 Marketing Survey
1.
Industry Related Questions
*
1.
Within what county is your office/group located?
(Required.)
*
2.
Within what age range do you fall?
(Required.)
24-30
31-35
36-40
41-45
46-50
51-55
56-60
61-75
76+
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3.
Which podiatry services do you refer patients? (Check all that apply)
(Required.)
Ankle Injuries - sprain, strain, breaks
Arthritis/Joint Pain
Athlete's Foot
Athletic Conditions (shin splints, general pain)
Bunions
Corn/Callus Treatment
Diabetes
Foot Injuries - sprain, strain, breaks
Heel Pain (spurs, plantar fasciitis)
Nails - Ingrown
Pediatric Foot Issues
Skin - Cracked Heels
Warts - Plantar/Verrucae
Walking Management Programs (weight/obesity)
I do not refer patients to a podiatrist
Other (please specify)
*
4.
Have you referred a patient to a podiatrist in the past month? If not, why?
(Required.)
Yes
No
If no, why not?
*
5.
Are foot exams performed during all annual checkups? If no, why not?
(Required.)
Yes
No
If no, why not?
*
6.
Are foot exams performed on all appointments with diabetes patients? If no, why not?
(Required.)
Yes
No
If no, why not?
*
7.
If you have a weight management program, is a podiatrist part of your advisory team?
(Required.)
Yes
No
Sometimes
We do not have a weight management program
Other (please specify)
