Patient Name: ______________________________ Date: __________________
Please answer the following questions with as much detail as possible:
How long have you been suffering from bunions?
Do your bunions make it difficult and/or painful to walk?
Do you believe your bunions are causing you to have foot and/or back pain?
Do your bunions prevent you from fun activities or exercising?
Do you feel that your bunions are causing your feet to look deformed or unattractive?
Are you self-conscious about showing your feet in public?
Is it hard to find shoes that fit?