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1300 575 017
Vein Conditions
Varicose Veins
Other Vein Conditions
Treatment
Treatment Summary
Endovenous Therapy
Endovenous Laser Ablation
Radiofrequency Abalation
Medical Superglue VenaSeal
Sclerotherapy
Surgery
After Care
Free Guide to Varicose Vein Treatment
What to Expect
Before & After
About
Pricing
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Faqs
Locations
Sydney
Melbourne
Canberra
Brisbane
Adelaide
Vein Conditions
Varicose Veins
Varicose Veins in Feet and Ankles
Other Vein Conditions
Treatments
Treatments Summary
Endovenous Therapy
Endovenous Laser Ablation
Radiofrequency Ablation
Medical Superglue VenaSeal
Sclerotherapy
Surgery
After Care
The Definitive Guide to Varicose Vein Treatment
What to Expect
Before & After
About
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Locations
Sydney
Melbourne
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Adelaide
The Vein Institute
Vein Assessment Tool
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Vein Self-Assessment Tool
Vein problems are not only painful, but they can also lead to more serious issues. Our vein self-assessment tool allows you to identify your vein issue so you can find the help you need, try it now!
Dislaimer:
I understand that this is a preliminary online screening only for vein disease and does not constitute a complete or definitive diagnosis and does not include an in-office consultation. Information gathered in this screening is strictly confidential and is being collected for review and preliminary determination of the likelihood of vein disease existing in the said participant. I hereby release the screening doctor and all other health care providers from all responsibility in connection with this virtual vein screening process. This tool is not a consultation, and should not be confused with an office visit/consultation. This tool is used to determine if you are a good candidate for a consultation or treatment. The tool is a self-assessment questionnaire and is not a substitute for the diagnosis/treatment of any health/physical condition, or as a substitute for a doctor-patient relationship which may only be established by coming to our office for a face-to-face consultation with a doctor. Each patient's treatment and/or results may vary based upon the circumstances, the patients' specific situation, as well as the health care provider's medical judgment and only after further discussion of the patient's specific situation, goals, risks and benefits and other relevant medical discussions. Use of this tool constitutes acknowledgement and acceptance of these limitations and disclaimers.
Appearance
1. Please select the images which best represent your veins:
*
Mild VV A
Extensive VV A
Spider Veins Varicose Vein
Bad Spider Veins
Mild Spider Veins
Ulcer/Pigment
Mild VV
Discolouration
Symptoms
2. Please select the symptoms you are experiencing:
*
Aching
Swelling
Itching
Burning
Hot
Heavy/tired
None
Color
3. What is the most predominant colour of your veins?
*
Blue
Red
Green
Purple
None
Location
4. Where do your veins appear?
*
Thigh
Knee
Shin
Calf
Ankle
Feet
Other
5. Have you had treatment for varicose veins before?
*
Stripping
Laser Ablation / Radiofrequency Ablation
Sclerotherapy
VenaSeal Glue
I have not been treated previously
Other
Lifestyle Factors
6. Do any of the below apply to you?
*
Spend most of the day sitting
Standing / walking all day work
Paternal history of vein disease
Maternal history of vein disease
I have been pregnant
None apply
7. Do you smoke?
*
Frequently
Occasionally
Never
8. Do you exercise regularly?
*
More than 4 times a week (each session at least 30 minutes)
More than once a week
Occasionally
Never
9. Gender
*
Male
Female
Prefer not to say
10. Age
*
20 - 30
30 - 40
40 - 50
50 - 60
60+
MENU
1300 575 017
Vein Conditions
Varicose Veins
Other Vein Conditions
Treatment
Treatment Summary
Endovenous Therapy
Endovenous Laser Ablation
Radiofrequency Abalation
Medical Superglue VenaSeal
Sclerotherapy
Surgery
After Care
Free Guide to Varicose Vein Treatment
What to Expect
Before & After
About
Pricing
Shop
GP Hub
Blog
Faqs
Locations
Sydney
Melbourne
Canberra
Brisbane
Adelaide
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