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Did you ever have following symptoms in your legs?
Pain with standing and relief with rest
Select
Yes
No
Visible large veins in the leg
Select
Yes
No
Bleeding from your veins
Select
Yes
No
Active or healed ulcer in lower leg
Select
Yes
No
Swelling around ankle
Select
Yes
No
Tiredness or heaviness in your legs
Select
Yes
No
Discoloration or itching in lower leg
Select
Yes
No
Small bluish veins in the limb
Select
Yes
No
Back
Name:
Email:
Next
Did you ever have following symptoms in your legs?
Pain with standing and relief with rest
Select
Yes
No
Visible large veins in the leg
Select
Yes
No
Bleeding from your veins
Select
Yes
No
Active or healed ulcer in lower leg
Select
Yes
No
Swelling around ankle
Select
Yes
No
Tiredness or heaviness in your legs
Select
Yes
No
Discoloration or itching in lower leg
Select
Yes
No
Small bluish veins in the limb
Select
Yes
No