Varicose Veins – Questionnaire

Before your ultrasound scan, we kindly request you to answer a few questions about your varicose veins.

This questionnaire plays a crucial role in ensuring that we have a comprehensive understanding of your symptoms.

Your responses will guide our experienced medical professionals in assessing the severity of your varicose veins, identifying any underlying issues, and recommending the most appropriate course of action.

Step 1 of 13

Personal Details

Name(Required)
Date of birth(Required)