Your Honest Answers Will Give You the Best Assessment Results!
How often do you notice swelling in your legs, especially by the end of the day?
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Occasionally, but nothing major
It happens quite a bit and gets uncomfortable
Almost every day, it’s very noticeable
How would you describe any pain or discomfort from your veins?
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Occasionally, I feel some mild discomfort
I often feel a heavy sensation or throbbing
It’s painful and affects my daily activities
Have you noticed any skin changes, like dryness or discoloration, near the affected veins?
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Maybe a slight change, but nothing bothersome
Yes, I see noticeable color or texture changes
Significant changes; it’s affecting my skin health
Do you feel numbness, tingling, or a “heavy” sensation in your legs?
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Rarely, if I’ve been sitting or standing too long
Yes, often after a full day on my feet
Daily, it’s uncomfortable and distracting
Have you tried any home remedies for relief?
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Occasionally, they help a bit
I use them often, but they don’t fully work
I rely on them but still struggle
Postal Code
Birth Date
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Insurance
AARP
Aetna
BCBS
Cigna
Humana
Medicaid
Medicare
UHC
Self Pay
Other
No Insurance
Others please write your insurance below:
First Name
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Last Name
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Email
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Phone
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