Is the skin on your feet scaly?
 Yes      No
     
 
   Is the skin on your feet dry and cracked?
 Yes      No
     
 
   Is the skin on your feet thickening and/or peeling?
 Yes      No
     
 
   Do the bottom or sides of your feet burn or itch?
 Yes      No
     
 
   Do you apply lotions and creams to your feet regularly
   and still have dry, scaly skin, and/or itching?
 Yes      No
     
 
   Do you have itching or burning of the skin between the toes?
 Yes      No
     
 
   Does someone in your family have athlete's foot?
 Yes      No
       
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