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ToeFX Screening Questionnaire
This questionnaire asks a few questions to see if you are eligible to participate in a study of the ToeFX Light Therapy treatment. It will take about 2 minutes to complete. Patients who participate in the treatment will be compensated $200 for their time ($100 mid-way and $100 toward the end).
IF YOU ARE ELIGIBLE for the study, a member of the ToeFX team will reach out to contact you to set up a visit with a chiropodist.
If you are NOT eligible, you may not receive a response due to the high volume of inquiries we receive.
If you are selected to submit a nail sample for diagnosis, PLEASE REMOVE ALL NAIL POLISH before your visit.
About ToeFX: ToeFX is a medical device company running a research study on a new treatment for toenail fungus. There are sites in Hamilton, Canada and Ottawa, Canada.
When you look at your toenails, what do you see?
Very thick nails
How much of your big toe is affected (approx.)?
20% or less (a small amount of the nail)
50% (half of the toenail)
75% (most of the toenail)
100% (all of the toenail)
My big toe is healthy. It's my other toes that are a problem.
What is your age range?
Are you currently receiving any medical treatment for fungus?
Are you willing to avoid using topical steroids and antifungals during the study?
Are you willing to avoid nail polish on your toenails during the study?
Are you pregnant or planning to become pregnant in the next few months?
Are you currently enrolled in any clinical trials?
Do you have any known immunodeficiency or history of malignancy in the last 4 years (not including non-melanoma skin cancer)?
Do you have any of the following: diabetic foot, diabetes, psoriasis, lichen planus, or other medical conditions known to change the toenails (including trauma from ill-fitting shoes, running, or aggressive nail care)?
Do you smoke or vape more than once a week?
Do you drink more than 2 units of alcohol daily?
Do you have medical insurance other than OHIP?
If you meet the trial criteria, the next step will be for us to contact you to answer any questions and/or set up your first treatment. Do you prefer email for phone?
What's your name? (First and last - so we can contact you.)
What's your email address?
What's your phone number? (we need to ask a few questions before the clinic can book you in)
Where did you learn about the study?
I am a patient of the Hamilton, Burlington, Hewak (Dundas) or Dundurn foot clinics
Online (kijiji or Craigslist)
Referred by a friend
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