7. |
Have you experienced tenderness? |
Yes □ |
No □ |
8. |
Have you experienced swelling? |
Yes □ |
No □ |
9. |
Have you experienced swelling with pitting? (Pitting is when you press firmly on your skin and the dent stays long enough to feel it when you slide the pad of your finger across it.) |
Yes □ |
No □ |
10. |
Have you experienced redness? |
Yes □ |
No □ |
11. |
Have you experienced blistering? |
Yes □ |
No □ |
12. |
Have you experienced firmness/tightness? |
Yes □ |
No □ |
13. |
Have you experienced increased temperature in your leg? |
Yes □ |
No □ |
14. |
Have you experienced heaviness? |
Yes □ |
No □ |
15. |
Have you experienced numbness? |
Yes □ |
No □ |
16. |
Have you experienced stiffness? |
Yes □ |
No □ |
17. |
Have you experienced aching? |
Yes □ |
No □ |
18. |
Have you experienced hip swelling? |
Yes □ |
No □ |
19. |
Have you experienced groin swelling? (genital, labia/vulvar) |
Yes □ |
No □ |
20. |
Have you experienced pockets of fluid? |
Yes □ |
No □ |