AGE : ……………

HEIGHT : ……………… cm
WEIGHT : ……………… kg

1 Foot length
2 Truncated foot length
3 Heel width
4 Ball width
5 Ball girth
6 Hallux valgus degree
7 Degree of little toe
8 Instep height
9 Navicular height
10 Instep girth
11 Height of first toe
12 Height of little toe

1 cm
2 cm
3 cm
4 cm
5 cm
6 cm
7 cm
8 cm
9 cm
10 cm
11 cm
12 cm