Survey Text

1990
top
1990
Survey form view entire document:  text  image
These next questions are about foot problems.

1a. During the past 12 months, (that is, since (12 month date) a year ago) did anyone in the family have trouble with --
If "yes," ask 1b and c.

A. Ingrown toenails or other toenail problems?
1[] Yes
2[] No

b. Who is this?
Mark box in appropriate person's column.

A. 1[] Toenail problem
B. 1[] Foot infection
C. 1[] Corns/calluses
D. 1[] Flat feet/fallen arches
E. 1[] Clubfoot
F. 1[] Toe/joint deformity
G. 1[] Bunions
H. 1[] Injury
I. 1[] Arthritis
J. ____