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Foot health needs were assessed for one National Health Service Trust by a survey of the past problems and priorities perceived by 14- to 15-year-olds in three schools. The schools were selected using socially related criteria. Significant differences were found in each school. Seventy-eight per cent reported some foot problem during their lives. Pain was the main reason for expressing concern but children also cited anxiety and annoyance at the inconvenience or restrictions caused by the foot problem. Most concern was expressed over traumatic injuries and ingrown toenails. Verrucas were the most common condition but did not cause much concern - there was more pain associated with professional treatment of verrucas than with home remedies or no treatment at all. Even less concern was expressed about minor structural or biomechanical problems and it is the opinion of the authors that debate over the treatment of structural problems must be resolved before podopaediatric need can be assessed by screening childrens' feet.