Plantar fasciitis Survey

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* 1. Where is your heel pain?

Underneath the heel.

Under the arch

Underneath the heel and the arch

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* 2. If you have a diagnosis for your heel pain, please identify

Plantar fascitiis

Heel spur

Both

Other (please specify)

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* 3. Please score your current pain level

No pain 0

Moderate pain 5

Worst pain you can imagine 10

No pain 0

Moderate pain 5

Worst pain you can imagine 10

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* 4. How does your pain affect your normal activities / sport

I have no problems with performing my usual activities / sport

I have some problems with performing my usual activities / sport

I am unable to perform my usual activities / sport

Other (please specify)

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* 5. What is your gender?

Female

Male

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* 6. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 7. How was your diagnosis made?

Self diagnosis

Clinical diagnosis only

X-ray

Ultrasound scan

CT scan

MRI scan

Other (please specify)

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* 8. What healthcare practitioners have you seen?

None

Chiropractor

Orthopaedic Surgeon

Osteopath

Physiotherpist

Podiatrist

Podiatric Surgeon

Rheumatologist

Sports medicine doctor

Other (please specify)

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* 9. How long have you had your problem (2 months = 8 weeks, 1 year = 52 weeks)?

Weeks

	No help				Moderately helpful					Extremley helpful
Acupuncture	Acupuncture No help	Acupuncture	Acupuncture	Acupuncture	Acupuncture Moderately helpful	Acupuncture	Acupuncture	Acupuncture	Acupuncture	Acupuncture Extremley helpful
Ice	Ice No help	Ice	Ice	Ice	Ice Moderately helpful	Ice	Ice	Ice	Ice	Ice Extremley helpful
Injection - steroid	Injection - steroid No help	Injection - steroid	Injection - steroid	Injection - steroid	Injection - steroid Moderately helpful	Injection - steroid	Injection - steroid	Injection - steroid	Injection - steroid	Injection - steroid Extremley helpful
Night splint	Night splint No help	Night splint	Night splint	Night splint	Night splint Moderately helpful	Night splint	Night splint	Night splint	Night splint	Night splint Extremley helpful
Orthotic / insert brought in a shop	Orthotic / insert brought in a shop No help	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop Moderately helpful	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop	Orthotic / insert brought in a shop Extremley helpful
Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet No help	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet Moderately helpful	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet	Orthtoic / insole bought on the internet Extremley helpful
Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist No help	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist Moderately helpful	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist	Orthotic / insole not custome made to a mould but provided by specialist Extremley helpful
Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould No help	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould Moderately helpful	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould	Orthotic / insole custom made to a mould Extremley helpful
Physiotherapy	Physiotherapy No help	Physiotherapy	Physiotherapy	Physiotherapy	Physiotherapy Moderately helpful	Physiotherapy	Physiotherapy	Physiotherapy	Physiotherapy	Physiotherapy Extremley helpful
FS6 Sock	FS6 Sock No help	FS6 Sock	FS6 Sock	FS6 Sock	FS6 Sock Moderately helpful	FS6 Sock	FS6 Sock	FS6 Sock	FS6 Sock	FS6 Sock Extremley helpful
Shockwave therapy	Shockwave therapy No help	Shockwave therapy	Shockwave therapy	Shockwave therapy	Shockwave therapy Moderately helpful	Shockwave therapy	Shockwave therapy	Shockwave therapy	Shockwave therapy	Shockwave therapy Extremley helpful
Shoe change	Shoe change No help	Shoe change	Shoe change	Shoe change	Shoe change Moderately helpful	Shoe change	Shoe change	Shoe change	Shoe change	Shoe change Extremley helpful
Trainer / running shoe	Trainer / running shoe No help	Trainer / running shoe	Trainer / running shoe	Trainer / running shoe	Trainer / running shoe Moderately helpful	Trainer / running shoe	Trainer / running shoe	Trainer / running shoe	Trainer / running shoe	Trainer / running shoe Extremley helpful
Softer sole shoe	Softer sole shoe No help	Softer sole shoe	Softer sole shoe	Softer sole shoe	Softer sole shoe Moderately helpful	Softer sole shoe	Softer sole shoe	Softer sole shoe	Softer sole shoe	Softer sole shoe Extremley helpful
Stretching - calf	Stretching - calf No help	Stretching - calf	Stretching - calf	Stretching - calf	Stretching - calf Moderately helpful	Stretching - calf	Stretching - calf	Stretching - calf	Stretching - calf	Stretching - calf Extremley helpful
Stretching - plantar fascia	Stretching - plantar fascia No help	Stretching - plantar fascia	Stretching - plantar fascia	Stretching - plantar fascia	Stretching - plantar fascia Moderately helpful	Stretching - plantar fascia	Stretching - plantar fascia	Stretching - plantar fascia	Stretching - plantar fascia	Stretching - plantar fascia Extremley helpful
Taping	Taping No help	Taping	Taping	Taping	Taping Moderately helpful	Taping	Taping	Taping	Taping	Taping Extremley helpful

No help

Moderately helpful

Extremley helpful

Acupuncture

Acupuncture No help

Acupuncture

Acupuncture Moderately helpful

Acupuncture

Acupuncture Extremley helpful

Ice

Ice No help

Ice

Ice Moderately helpful

Ice

Ice Extremley helpful

Injection - steroid

Injection - steroid No help

Injection - steroid

Injection - steroid Moderately helpful

Injection - steroid

Injection - steroid Extremley helpful

Night splint

Night splint No help

Night splint

Night splint Moderately helpful

Night splint

Night splint Extremley helpful

Orthotic / insert brought in a shop

Orthotic / insert brought in a shop No help

Orthotic / insert brought in a shop

Orthotic / insert brought in a shop Moderately helpful

Orthotic / insert brought in a shop

Orthotic / insert brought in a shop Extremley helpful

Orthtoic / insole bought on the internet

Orthtoic / insole bought on the internet No help

Orthtoic / insole bought on the internet

Orthtoic / insole bought on the internet Moderately helpful

Orthtoic / insole bought on the internet

Orthtoic / insole bought on the internet Extremley helpful

Orthotic / insole not custome made to a mould but provided by specialist

Orthotic / insole not custome made to a mould but provided by specialist No help

Orthotic / insole not custome made to a mould but provided by specialist

Orthotic / insole not custome made to a mould but provided by specialist Moderately helpful

Orthotic / insole not custome made to a mould but provided by specialist

Orthotic / insole not custome made to a mould but provided by specialist Extremley helpful

Orthotic / insole custom made to a mould

Orthotic / insole custom made to a mould No help

Orthotic / insole custom made to a mould

Orthotic / insole custom made to a mould Moderately helpful

Orthotic / insole custom made to a mould

Orthotic / insole custom made to a mould Extremley helpful

Physiotherapy

Physiotherapy No help

Physiotherapy

Physiotherapy Moderately helpful

Physiotherapy

Physiotherapy Extremley helpful

FS6 Sock

FS6 Sock No help

FS6 Sock

FS6 Sock Moderately helpful

FS6 Sock

FS6 Sock Extremley helpful

Shockwave therapy

Shockwave therapy No help

Shockwave therapy

Shockwave therapy Moderately helpful

Shockwave therapy

Shockwave therapy Extremley helpful

Shoe change

Shoe change No help

Shoe change

Shoe change Moderately helpful

Shoe change

Shoe change Extremley helpful

Trainer / running shoe

Trainer / running shoe No help

Trainer / running shoe

Trainer / running shoe Moderately helpful

Trainer / running shoe

Trainer / running shoe Extremley helpful

Softer sole shoe

Softer sole shoe No help

Softer sole shoe

Softer sole shoe Moderately helpful

Softer sole shoe

Softer sole shoe Extremley helpful

Stretching - calf

Stretching - calf No help

Stretching - calf

Stretching - calf Moderately helpful

Stretching - calf

Stretching - calf Extremley helpful

Stretching - plantar fascia

Stretching - plantar fascia No help

Stretching - plantar fascia

Stretching - plantar fascia Moderately helpful

Stretching - plantar fascia

Stretching - plantar fascia Extremley helpful

Taping

Taping No help

Taping

Taping Moderately helpful

Taping

Taping Extremley helpful

Question Title

* 1. Where is your heel pain?

Question Title

* 2. If you have a diagnosis for your heel pain, please identify

Question Title

* 3. Please score your current pain level

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* 4. How does your pain affect your normal activities / sport

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* 5. What is your gender?

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* 6. What is your age?

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* 7. How was your diagnosis made?

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* 8. What healthcare practitioners have you seen?

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* 9. How long have you had your problem (2 months = 8 weeks, 1 year = 52 weeks)?

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* 10. Select the treatments you have had and rate them (only rate those that you have had)?