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Leading edge care for vascular disease
Vascular disorders
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More details on vascular disease
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Return to the vascular center home page

 

 

Are you at risk for Peripheral Arterial Disease (PAD)?

Fill out the simple questionnaire below to find out your risk.

1. Age?

40-49
50-69
>70
6. Do you have a history of heart disease/stroke?

Yes
No
2. Do you have high blood pressure?

Yes
No
7. Are you overweight by 25 lbs or more?

Yes
No
3. Do you have diabetes?

Yes
No
8. Do you have slowly healing ulcers in your feet/legs?

Yes
No
4. Do you have high cholesterol?

Yes
No
9. Do you have pain in your hips, thighs, or calves with walking or exercise, but the pain resolves with standing in place or minimal rest?

Yes
No
5. Do you smoke (or have you smoked in the past)?

Yes
No
  10. Do you have leg cramps/pain at rest or at night?

Yes
No

 

 



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3000 W. Montana St., Milwaukee, WI 53215, (414) 647-3000
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