Diabetes foot care questionnaire 2026

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The document is a comprehensive Diabetes Foot Care Questionnaire designed to assess foot health in individuals with diabetes. It includes sections on the history of foot problems, current issues, foot care practices, footwear choices, safety and prevention measures, and education on foot care. The questionnaire aims to identify risk factors for diabetic foot complications and guide appropriate referrals to specialists. Additionally, it provides information on risk stratification for diabetic feet based on assessment findings, emphasizing the importance of regular foot examinations and proper self-care to prevent serious complications.
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  1. Click ‘Get Form’ to open the diabetes foot care questionnaire in the editor.
  2. Begin by entering your name at the top of the form. This personalizes your submission and ensures it is correctly attributed.
  3. Proceed to the 'History of Foot Problems' section. Answer each question regarding past issues such as sores, ulcers, or amputations by selecting 'Yes' or 'No'.
  4. In the 'Current Foot or Leg Problems' section, indicate if you have any current issues like blisters or numbness. Be honest for accurate assessment.
  5. Move on to 'Foot Care'. Here, answer questions about your daily foot care routine, including washing and moisturizing practices.
  6. Next, fill out the 'Foot Wear' section by checking all types of shoes and socks you typically wear.
  7. Complete the 'Safety and Prevention' section by indicating your habits related to foot care safety measures.
  8. Finally, review all your answers for accuracy before submitting the completed form back to the Diabetes Centre.

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1. Inspect your feet daily. Check your feet for cuts, blisters, redness, swelling, or nail problems. Use a magnifying hand mirror to look at the bottom of your feet.
The Diabetes Foot Self-care Behavior Scale (DFSBS) [30] measures the frequency of foot self-care behaviour. It entails seven items: checking the bottom of the feet and between toes, washing between toes, drying between toes after washing, applying lotion, inspecting the insides of shoes, and breaking in new shoes.
Studies from the literature have suggested for some time that, if the foot wound area has not been reduced by 50% following four weeks of standard of care treatment infection control, optimise perfusion, pressure offloading and local wound care ([IWGDF, 2023) then the wound is unlikely to heal by 12 weeks.
Observe the feet, comparing one with the other for symmetry. Look specifically at the forefoot for nail changes or skin rashes, such as psoriasis. Look for alignment of the toes, evidence of hallux valgus of the big toe or subluxation (partial dislocation) of the joints.
Your provider will check: The skin of your feet to look for dryness, ing, calluses, blisters, ulcers, and other damage or abnormal areas. Your toenails for s and fungal infection. The temperature of your feet to see if they are the same.

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Diabetic foot questionnaire Diabetic foot Ulcer Scale pdf diabetes foot self-care behavior scale (dfsbs) PubMed

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The elements of inspection are as follows: alignment, muscle atrophy, joint deformity, incisions, scarring, rash, swelling, ecchymosis, erythema. In addition, the plantar aspect of the foot must be examined for ulcers, abrasions, and skin breakdown.
Theyll check the blood supply or circulation in your feet by feeling for foot pulses in two places, or using a small handheld machine called a doppler, to listen to the blood flow. Theyll also check for changes of the feeling in your feet with special equipment like a tuning fork and monofilament.

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