WTC Neuropathy

Question Title

* 1. Please answer the following questions about the feeling in your legs and feet. Check yes or no based on how you USUALLY feel in the last month. Please check yes ONLY if the symptoms are new since 9/11/2001.

	Yes	No
Are your legs and/or feet numb?	Are your legs and/or feet numb? Yes	Are your legs and/or feet numb? No
Do you ever have any burning pain in your legs and/or feet?	Do you ever have any burning pain in your legs and/or feet? Yes	Do you ever have any burning pain in your legs and/or feet? No
Are your feet too sensitive to touch?	Are your feet too sensitive to touch? Yes	Are your feet too sensitive to touch? No
Do you get muscle cramps in your legs and/or feet?	Do you get muscle cramps in your legs and/or feet? Yes	Do you get muscle cramps in your legs and/or feet? No
Do you ever have any prickling feelings in your legs or feet?	Do you ever have any prickling feelings in your legs or feet? Yes	Do you ever have any prickling feelings in your legs or feet? No
Does it hurt when the bed covers touch your skin?	Does it hurt when the bed covers touch your skin? Yes	Does it hurt when the bed covers touch your skin? No
When you get into the tub or shower, are you able to tell the hot water from the cold water?	When you get into the tub or shower, are you able to tell the hot water from the cold water? Yes	When you get into the tub or shower, are you able to tell the hot water from the cold water? No
Have you ever had an open sore on your foot?	Have you ever had an open sore on your foot? Yes	Have you ever had an open sore on your foot? No
Has your doctor ever told you that you have diabetic neuropathy?	Has your doctor ever told you that you have diabetic neuropathy? Yes	Has your doctor ever told you that you have diabetic neuropathy? No
Do you feel week all over most of the time?	Do you feel week all over most of the time? Yes	Do you feel week all over most of the time? No
Are your symptoms worse at night?	Are your symptoms worse at night? Yes	Are your symptoms worse at night? No
Do your legs hurt when you walk?	Do your legs hurt when you walk? Yes	Do your legs hurt when you walk? No
Are you able to sense your feet when you walk?	Are you able to sense your feet when you walk? Yes	Are you able to sense your feet when you walk? No
Is the skin on your feet so dry that it cracks open?	Is the skin on your feet so dry that it cracks open? Yes	Is the skin on your feet so dry that it cracks open? No
Have you ever had an amputation?	Have you ever had an amputation? Yes	Have you ever had an amputation? No
Are you unsteady when you walk?	Are you unsteady when you walk? Yes	Are you unsteady when you walk? No
Do you have burning aching pain or tenderness at your legs or feet?	Do you have burning aching pain or tenderness at your legs or feet? Yes	Do you have burning aching pain or tenderness at your legs or feet? No
Do you have prickling sensation at your legs and feet?	Do you have prickling sensation at your legs and feet? Yes	Do you have prickling sensation at your legs and feet? No
Do you have places of numbness on your legs or feet?	Do you have places of numbness on your legs or feet? Yes	Do you have places of numbness on your legs or feet? No