Survey Text

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During the past 12 months, did anyone in the family have trouble with --

F. Deformities of the toe or joint including hammer toe, claw toe, and missing toes?
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. ____