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Vein Survey
Have you ever been diagnosed with any vein related disorders?
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Has anyone in your biological blood-related family ever had varicose veins or been diagnosed with venous disease?
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Do you stand for prolonged periods of time?
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Do you experience or suffer from any of the following signs or symptoms in your legs? (Check all that apply)
Leg Heaviness
Restless Legs
Itching on the Skin
Leg or Ankle Swelling
Leg Pain
Skin Discoloration
Venous Ulcers
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