Peripheral Neuropathy Quiz

Step 1 of 5

20%

At night, in bed, does it hurt when the covers touch your skin?*
- No
- Yes
Do your legs and/or feet ever feel numb?*
- No
- Yes
Are your symptoms worse at particular time of the day?*
- Yes, during the day
- Yes, at night
- No

Are your feet ever overly sensitive to touch?*
- No
- Yes
Do you ever experience muscle cramps in your legs and/or feet?*
- No
- Yes
Do you ever experience a sharp, stabbing, shooting pain in your feet or legs?*
- Yes
- No

Have you ever experience an electric shock-like pain in your feet or legs?*
- No
- Yes
Have you experienced an asleep feeling or loss of sensation in your legs or feet?*
- Yes
- No
Do your legs and/or feet hurt when you walk?*
- Yes
- No

Are you unable to sense your feet when you walk?*
- Yes
- No
Do your legs and/or feet ever feel numb?*
- Yes
- No
Do you ever experience a prickling or tingling sensation in your legs or feet?*
- Yes
- No

When you get into the bathtub or shower, are your feet unable to tell the hot water from the cold water?*
- No
- Yes
Is the skin on your feet so dry that it cracks open?*
- Yes
- No
Do you ever feel weak when you walk?*
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.