Answer the questions below to get your results
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1.
Fingers and/or toes often too cold
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
2.
Arms and/or legs often go to sleep
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
3.
Numbness or heaviness in arms or legs
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
4.
Cramps in hand when writing
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
5.
Sharp diagonal crease in earlobe
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
6.
Tingling sensation in lips or fingers
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
7.
Short walk causes cramping or pain in legs
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
8.
Ankles swell late in the day
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
9.
Breathlessness on slight exertion or when lying down
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
10.
Whitish ring under outer part of cornea in the eye
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe
11.
Chest pain after physical exercise or emotional stress
0=Never 1=Sometimes/Mild 2=Often/Moderate 3=Very Often/Severe