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

Complete questions 2 and 3 separately for up to 4 foot problems for each person.

[option to enter up to 4 foot problem in the original document not presented here. The questions and answers are the same for all 4 foot problems]

First Foot Problem in Question 1:

Letter in 1 ____
Problem ____

2. Does -- still have (problem) or has it gone away or been cured?

1[] Still has problem
2[] Gone away/cured