Varicose Vein Self Assessment Survey

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Varicose veins are large, bulging veins, as opposed to spider veins, which are thin, branching veins just beneath the skin's surface.

Have you ever had varicose veins? Yes No

Do you experience any of the following signs and symptoms in your leg and/or ankles?

Leg pain, aching or cramping

Burning or itching of the skin

Leg or ankle swelling, especially at the end of the day

Varicose veins

Skin discoloration or texture changes, such as above the inner ankle

Open wounds or sores, such as above the inner ankle

Restless legs

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