National Screening For Vascular Disease

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Are you at risk for Abdominal Aortic Aneurysm (AAA)?

Your answers to these questions will help you know.

Are you over the age of 60? Yes No
Do you have pain or other symptoms (numbness, tingling) when you walk or exercise that go away when you stop? Yes No
Do you smoke or have you ever smoked? Yes No
Has anyone in your family been diagnosed with an abdominal aortic aneurysm? Yes No
Are you currently under the care of a vascular surgeon or other physician who is treating you for vascular disease in your legs or for an abdominal aortic aneurysm? Yes No
 

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The higher your score, the more important it is for you to see your doctor. You and your doctor may wish to discuss your responses to this questionnaire.

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