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Approximately how many hours a day do you spend sitting?
Approximately how many hours a day do you spend standing?
Have you ever been treated for a vein ailment?
Which signs do you have? (Choose as many as applicable.)
Varicose Veins Above Knee
Spider Veins Below Knee
Spider Veins Above Knee
What symptoms do you have? (Choose as many as applicable.)
Itching or Burning
Night Time Urination
Please upload any images related to your condition.
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