Vascular Disease Risk Assessment
Vascular disease affects over 10 million Americans each year. Use the following questions to see if you are potentially at risk. If you answer "yes" to any of the risk or symptom questions, we encourage you to visit with your physician.
Risk Assessment
Important note: this assessment is not a substitute for professional evaluation by a physician.
Age _____
Sex: Male Female
- Do you have a history of heart disease?
- Do you have a history of stroke?
- Do you smoke?
- Have you ever been diagnosed with hypertension?
- Have you ever been diagnosed with elevated lipid levels (high cholesterol)?
- Do you experience pain or cramps in the legs at night or while sitting or standing?
- Do you experience pain or aching in the buttocks occurring only when walking or exercising?
- Do you experience pain or aching in the calf (the back of the lower leg) occurring only when walking or exercising and relieved when standing or sitting?
- Do you have an ulcer or open sore on or between toes that will not heal?
- Do you experience thumping sensations in the abdomen?
If you have answered yes to any of these questions, search our online calendar for upcoming test and screenings or contact us for more options.
