Foot-health self-check
Give your feet a moment.
A short self-check to notice what affects your day. Check anything you recognize, or simply read through.
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For awareness only. This is not a diagnosis, clinical intake form or confirmation of eligibility for a questionnaire discount.
Optional. Skip any item.
Movement and comfort
Skin and nails
Sensation, shoes and history
Something you would like to discuss?
Call the practice to request an appointment. You do not need to complete this self-check to call. The practice confirms suitability, availability and charges with you.
For a wound, sudden severe symptoms or an urgent concern, seek prompt medical attention. For a medical emergency, call 911. Do not wait for an appointment.
Prefer to begin by phone?
Call the clinic for clinic appointments, or the concierge line for house-call requests. Concierge calling hours are 1–7 pm; these are not appointment hours. No questionnaire is required to call.