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About
Our Practice
Doctors
Dr. Bonau
Dr. Keyser
Dr. Kim
Dr. Lee
Staff
Contact Us
Patients
What to Expect
Before & After
Consult
Vein Quiz
Insurance
Patient Portal
Patient Forms
Blog
Testimonials
Conditions
Varicose Veins
Spider Veins
Facial Veins
Venous Ulcers
Leg Swelling
Treatments
Endovas
Venaseal
Schlerotherpary
Laser
Varithena
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Vein Quiz
Are you concerned about the appearance of your legs?
*
Yes
No
Do you have enlarged veins on your legs?
*
Yes
No
Do the veins cause bumps that can be felt under the skin?
*
Yes
No
Do you experience aching of the legs after standing or walking for a long time that interferes with your daily life?
*
Yes
No
Do you experience swelling of the lower legs?
*
Yes
No
Please check all boxes that apply
Is there a history of vein problems in your bloodrelated family?
Are you fatigued, tired, or have heavy-feeling legs?
Do you have visible varicose and/or spider veins?
Do you have leg pain caused by prolonged standing or sitting?
Is there itching, tingling, numbness, cramping or burning in your legs or feet?
Do you have swollen ankles at the end of the day?
Do you have discoloration of the skin in your lower legs?
Do you have open sores or ulcers of the lower legs and ankles
You might have vein disease
FILL OUT OUR eVEIN SCREENING FORM
About
Our Practice
Doctors
Dr. Bonau
Dr. Keyser
Dr. Kim
Dr. Lee
Staff
Contact Us
Patients
What to Expect
Before & After
Consult
Vein Quiz
Insurance
Patient Portal
Patient Forms
Blog
Testimonials
Conditions
Varicose Veins
Spider Veins
Facial Veins
Venous Ulcers
Leg Swelling
Treatments
Endovas
Venaseal
Schlerotherpary
Laser
Varithena
Contact Us
Locations
