MEASUREMENT FORM

 

Customer Name:

 

Name and normal shoe size of individual for whom footwear being made:

 

 

 

 

Left Foot
Right Foot

Joint

 

   

Instep

 

   

Heel

 

   

Ankle@ 5" up (around)

 

   

Calf (around)

 

   

Calf (height)

 

   

Under Knee (around)

 

   

Under Knee (height)

 

   

Knee (around)

 

   

Over Knee (around)

 

   

Around leg @ 24"

 

   

We also need foot drawings. Place each foot on a white piece of paper and draw around it, making sure you hold the pen upright as you draw. These drawings need to be sent via the post, as faxes and emails tend to distort.

Additional Notes
 
 
 
 
 
 
 
 
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