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Sole Supporter 3D
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Sole Supporter 3D
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Welcome, Friends! Your Customer loyalty discount is below. Please enter the survey information prior to checkout. All information is for research purposes only and will be kept private.
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Indicates required field
Please Enter A User Name
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This study requires you to fill out the form before wearing Graceyfeet and after 4 weeks of using Graceyfeet. Please use the same Username when beginning the protocol and ending the protocol for continuity.
Occupation
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What do you do for work?
Gender
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Male
Female
Shoe Size
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M3-3.5, W5-5.5
M4-4.5, W6-6.5
M5-5.5, W7-7.5
M6-6.5, W8-8.5
M7-7.5, W9-9.5
M8-8.5, W10-10.5
M9-9.5, W11-11.5
M10-10.5, W12-13
M11-11.5
M12-13
M14-15
M16-17
Do you currently wear Insoles/Orthotics?
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Yes
No
These refer to insoles and orthotics that are NOT Graceyfeet
Please list brand(s) you wear
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Do you currently wear Graceyfeet Insoles/Orthotics?
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Yes
No
How many hours are you on your feet per day?
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1: 0-3
2: 4-6
3: 7-9
4: 10-12
5: 13-15
6: 16-18
7: 19-21
8: 22-24hrs.
What is the level of comfort in your shoes currently?
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1 - Extremely Comfortable
2 - Moderately Comfortable
3 - Comfortable
4 - Uncomfortable
5 - Moderately UNcomfortable
6 - Extremely UNcomfortable
What Surfaces Do you Work On? (Select all that apply)
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1 - Grass/Turf
2 - Carpet (Indoor)
3 - Vinyl Tile (Indoor)
4 - Wood/Wood Laminate (Indoor)
5 - Dirt/Gravel/Trail
6 - Asphalt
7 - Concrete
8 - Marble (Indoor)
Wearing Graceyfeet Insoles Has Produced A:
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1: Positive Change In Comfort (I Feel Better)
2: No Change In Comfort (I feel the same)
3: Negative Change In Comfort (I feel worse)
0: I Haven't worn them yet
Submit
Sweetfeet Loyalty Discount
$
29.95
Discounted Medical-grade multi-layer Sweetfeet insoles. e-mail Chris at graceyfeet@aol.com and specify size (US, M/W) and thickness (Thin = 1/8", Thick = 3/16")
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Sole Supporter 3D