Vein Health Assessment Survey

Higher scores may indicate a higher likelihood of a vein problem.
1. How often do you experience leg pain or discomfort?
2. Have you noticed any visible varicose or spider veins?
3. How would you describe your daily activity level?
4. How often do you stand or sit for long periods without taking breaks?
5. How frequently do you experience leg cramps or restless legs?
6. Have you ever had a blood clot in your legs?
7. How would you rate the appearance of your legs in terms of discoloration or skin changes?
8. Do you frequently experience heaviness or tiredness in your legs?
9. Have you ever had any leg ulcers or open wounds that are slow to heal?
10. Does leg elevation help provide some relief?
11. Do you have a family history of vein problems?
12. How satisfied are you with the overall health of your veins?