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Dr. Katie is looking forward to meeting you to discuss your plantar fasciitis, but first please fill out this questionnaire so we can get a little bit more information about your specific situation so we can best serve you and your unique needs.

 

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Question 1 of 9

What is your name?

Question 2 of 9

What is your email address?

Question 3 of 9

How long have you been suffering from plantar fasciitis?

A

0-6 months

B

6 months-1 year

C

1-2 years

D

More than 2 years

Question 4 of 9

What are the treatments you have done to try to get rid of your plantar fasciitis so far?

Question 5 of 9

What treatments have helped reduce your pain?

Question 6 of 9

What things have not helped your pain improve?

Question 7 of 9

What is your pain keeping you from being able to do that you'd like to get back to?

Question 8 of 9

Are you able to commit to investing 10-30 minutes each day for the next 30 days into caring for your foot?

A

Yes

B

No

Question 9 of 9

Anything else you'd like Dr. Katie to know about your plantar fasciitis?

Confirm and Submit