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. 2024 Apr 20;13(8):2402. doi: 10.3390/jcm13082402

Table 1.

Footwear questionnaire.

1 The footwear you are wearing today was recommended by someone? □ YES □ NO
From who? □ Endocrinologist □ Podiatrist □ Physiatrist □ Orthopedic technician □ Orthopedic □ Other: _____________________
2 Do you think you are wearing suitable footwear? □ YES □ NO
3 How many hours a day do you wear this footwear? ________________
4 Do you think foot ulcers can come from footwear? □ YES □ NO
5 Have you ever been told your feet are at risk of (re)ulceration? □ YES □ NO
6 Do you think they are? □ YES □ NO
7 Have you ever received any recommendation on choosing footwear? □ YES □ NO
8 Do you remember at least three?
1______________________ 2 _______________________ 3 ______________________
9 Can you follow these recommendations? □ YES □ NO
10 Do you think they are excessive? □ YES □ NO