1. Are you considering visiting an Ideal Feet store to purchase an Ideal Feet product?
2. Yes No Not sure
3. What has prevented you from purchasing an Ideal Feet product or visiting an Ideal Feet store so far?
5. What type of problems are you suffering from? (Select all that apply)
6. I am not experiencing problems Heel pain (plantar fasciitis) Sharp pain between 3rd and 4th toe (Morton's Neuroma) Pain in front ball/pad of foot (Metatarsalalgia) Knee Pain Hip pain Bunions Poor balance Turf toe Back pain Neck pain High arches Fallen or flat arches I am researching for someone else Other Don't know
7. How long have you had these problems?
8. Less than a month 1 -2 months 2-6 months 6 months to a year One to two years More than 2 years Not sure
9. On a frequent basis, how severe is your pain? (Please use a scale of 1-10 where 1 is not at all severe and 10 is extremely severe.)
10. 1 2 3 4 5 6 7 8 9 10 *
11. Thinking of the last few months, how have your problems impacted your life? (Please use a scale where 1 is not at all impacted and 10 is greatly impacted.)
12. 1 2 3 4 5 6 7 8 9 10 *
13. How many products have you used to help these problems?
14. None One Two Three Four More than four
15. Had you tried other brands' arch supports before? For example, ones bought in the drug store or a supermarket?
16. Yes No Don't know
17. Approximately how much money have you spent trying to help these problems?
18. Nothing Less than $10 $10 - $50 $50 - $100 $100 - $300 $300 - $500 $500 - $1000 More than $1000 Not sure
19. What were you looking for on the website?
20. More information about the product for myself More information about the product for a relative or friend Information about your condition Store locations and hours Price of the product Reviews and testimonials Contact information Coupons Other Don't know
21. How did you first hear about Ideal Feet?
22. 30 minute informercial 30 second TV commercial Recommendation from a friend or family member Online search engine Radio Doctor Other Not sure
23. What is your age?
24. 18-25 26-34 35-44 45-54 55-64 65+
25. Name *
26. Email(valid email required)
27. Zip Code*