Do you have Neuropathy?

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The Subjective Peripheral Neuropathy
Screening Questionnaire

Take the Quiz below to help discover if you have Peripheral Neuropathy
* 1. Do you ever have legs and/or feet that feel numb?
YES
NO
* 2. Do you ever have any burning pain in your legs and/or feet
YES
NO
* 3. Are you feet too sensitive to touch?
YES
NO
* 4. Do you get muscle cramps in your legs and/or feet?
YES
NO
* 5. Do you ever have any prickling or tingling feeling in you legs or feet?
YES
NO
* 6. Does it hurt at night or when the covers touch your skin?
YES
NO
* 7. When you get into the tub or shower, are you unable to tell the hot water from the cold water with your feet?
YES
NO
* 8. Do you ever have any sharp, stabbing, shooting pain sensation in your legs or feet?
YES
NO
* 9. Have you experienced an asleep feeling or loss of sensation in your legs or feet?
YES
NO
* 10. Do you feel weak when you walk?
YES
NO
* 11. Are your symptoms worse at night?
YES
NO
* 12. Do your legs and/or feet hurt when you walk?
YES
NO
* 13. Are you unable to sense your feet when you walk?
YES
NO
* 14. Is the skin on your feet so dry that it cracks open?
YES
NO
* 15. Have you ever had electric shock-like pain in your feet or legs?
YES
NO
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