Select ALL that apply to you

Select ALL that apply to you

Result will instantly be provided upon survey submission. This Diabetic Foot & Wound Center assessment incorporates recognized risk factors from the American Heart Association. A score above 10 indicates elevated risk.
What Applies to you?

Diabetes? Wounds or ulcers on foot or lower leg? Over 85 years old Over 50 years old Ever smoked? Ever had Lower Extremity Revascularization? Have a history of Hypertension? Ever feel Resting Leg Pain or Foot Pain? Is one foot ever Colder than the other? Have Neuropathy? Have high cholesterol? Ever had a heart attach or stroke?
Total point is *
Should be Empty: