Patient Quiz: Is ELVeS Right for You?

1. Have you or anyone in your family previously been diagnosed with varicose veins or venous reflux?

Yes
No

2. Do you have varicose veins that exhibit any of the following characteristics?

• Large, bulging veins on your legs
• Swollen, red, or warm to the touch
• Skin discoloration or texture changes

Yes
No

3. Have you experienced any of the following symptoms in your legs, ankles, or feet?

• Pain (an aching or cramping feeling)
• Heaviness/Tiredness
• Burning or tingling sensations
• Swelling
• Tender areas around the veins
• Sores or skin ulcers near ankle

Yes
No

4. Have you previously had skin ulcers on the leg (or areas that were slow to heal)?

Yes
No

5. Have you previously attempted conservative treatments without success (e.g. exercise, weight loss, elevating legs, avoiding long periods of standing/sitting, compression stockings)?

Yes
No