
14%
Name*
First
Last
Address*
Street Address
Address Line 2
City
StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
State
ZIP Code
Phone*Email*
Age*Please enter a number from 1 to 110.Gender*GenderMaleFemaleHeight*format: 5’10″Weight*lbs.Current Athletic Shoe Size*
Which model best describes the wear pattern on your current athletic shoes?
Record a short (10 sec) video of yourself walking on your floor or on a treadmill. Please perform this barefoot and position camera behind you.
File
Select which activities you will be using these shoes for. You can select more than one.
Walking
Running
Gym
How would you classify your running foot strike?HeelMidfootForefootWhich box best descibes your exercise mileage per week.>1010-3030-5050+Any current foot conditions or foot discomfort?
None
Achilles Tendonitis
Athlete’s Foot
Blisters
Bunions
Hammer Toes
Heel Spurs
Metatarsalgia
Plantar Fasciitis
Shin Splints
How much do you usually spend on athletic shoes?>$100$101-$125$126-$150$151+
Which color scheme appeals to you best?
Core
Neutral
Bright
Feminine
Which brand and model do you currently wear?
Adidas
Altra
Asics
Brooks
Hoka
Mizuno
New Balance
Nike
Saucony
On Brand
Other BrandModel?
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