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Table 1 Pre-assessment Questionnaires A and B

From: Does in-shoe pressure analysis to assess and modify medical grade footwear improve patient adherence and understanding? A mixed methods study

Pre-assessment Questionnaire A

What percentage of the time have you worn the footwear at home?

◦ < 20%

◦ 20–49%

◦ 50–79%

◦ 80–99%

â—¦ 100%

â—¦ Unsure

â—¦ Prefer not to answer

What percentage of the time have you worn the footwear outside the home?

As above

What have been the barriers to using your prescribed footwear?

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What are the reasons why you have worn your prescribed footwear?

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Pre-assessment Questionnaire B

I am going to read you a series of statements and I would like you to tell me whether you strongly disagree, disagree, feel neutral (have no strong opinion), agree, strongly agree, or prefer not to answer

 1. Because I have diabetes and loss of protective sensation, I may not feel high pressure areas under my feet

 2. My footwear and orthotics have been designed to prevent another foot ulcer

 3. High pressure areas under my feet may lead to an ulcer if I do not wear my prescribed footwear most (> 80%) of the time

 4. Regular shoes may not protect my feet as well as my prescribed footwear

 5. It is OK (or safe) to wear slippers or other slip-on house shoes when I am at home as these protect my feet enough

â—¦ Strongly disagree

â—¦ Disagree

â—¦ Feel neutral

â—¦ Agree

â—¦ Strongly agree

â—¦ Prefer not to answer

Are you satisfied with your footwear?

â—¦ Yes

â—¦ No

â—¦ Unsure

â—¦ Prefer not to answer

(If yes) Why are you satisfied with your footwear

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(If yes) Is there anything about your footwear that you are not satisfied with?

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(If no) Why are you not satisfied with your footwear?

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(If no) Is there anything about your footwear that you are satisfied with?

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(If unsure) Why are you unsure?

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