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* 1. Which best describes the industry you work in?

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* 2. What is your age?

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* 3. What is your gender?

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* 4. How often are you on your feet on an average work day?

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* 5. Of the time that you spend on your feet, are you mostly standing, walking or both.

Mostly Walking Combination of both Mostly Standing
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i We adjusted the number you entered based on the slider’s scale.

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* 6. What is the worst foot pain that you experience throughout your work day? 

No pain Moderate pain Worst pain
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i We adjusted the number you entered based on the slider’s scale.

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* 7. How much do you agree with the following statement? "My foot pain limits what activities I can do outside of work".

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* 8. Do you have restrictions on the type of shoes you use for work?

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* 9. Please indicate the type of footwear you wear to work

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* 10. Please indicate how much you agree with the following statement: "My required footwear at work is a major cause of my foot pain"

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* 11. Which treatments have you tried for your pain? Please select all that apply.

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