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?

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Learn more about our alternative bunion treatment. Start your consultation today. Call us at 303-532-4844, or use our consultation form shown below to send us information and pictures. You can also request a Free Report.