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What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
Select your age group.
 
16-20
 
21-25
 
26-30
 
35-40
 
41-45
 
50+
 
 
 
Which of the following statements reflects you?
 
I wear heels or flats everyday.
 
I wear heels or flats most days.
 
I wear heels or flats sometimes.
 
I wear heels or flats rarely.
 
I wear heels or flats never.
 
 
 
What style of heels or flats do you wear? (Select all that apply)
 
Closed toe
 
Open toe
 
Sandals
 
Pointed toe

 
 
 
How often do you purchase new heels or flats?
 
More than once a month
 
Once a month
 
Once every six months
 
Once a year
 
Never
 
 
 
On what occasions do you typically wear high heeled shoes? (Select all that apply)
 
Work
 
Night out
 
Daily wear

 
 
 
Please choose which of the following statements reflects your beliefs on shoe comfort.
 
Comfort is very important to me.
 
Comfort is important to me.
 
Comfort is somewhat important to me.
 
Comfort is not important for me.
 
 
 
Do you ever experience pain in the front part or section of your heels or flats?
 
Yes
 
No
 
 
 
If yes, would you consider purchasing a product to alleviate this pain?
 
Yes
 
No
 
 
 
How much would you be willing to spend on an insert designed to help with this problem?
 
$10
 
$15
 
$20
 
$25
 
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