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Have you a first degree relative aged under 45 with venous thromboembolism ?

First degree relative means a parent or brother/sister or child who has had a deep vein thrombosis or pulmonary embolism or another form of thrombosis in veins

Do you use a pill wih gestodene in it?

Do you have a known abnormality making your blood clot more easily?

Please put in your body mass index

Your body mass index is a measure of how fat or thin you are-the greater your body mass index the fatter you are

Are your legs immobilised?

Have you got varicose veins?

Do you have a first degree relative aged under 45 with arterial disease?

First degree relative means a parent or brother/sister or child who has had a myocardial infarct or stroke or angina or other form of thrombosis in an artery

Do you have diabetes ?

Diabetic complications include diabetic eye diease, kidney disease and diabetic feet problems

Is your blood pressure above 140/90?

Do you smoke?

Please put in your age in years

Do you have migraine?

This question and the answers are complicated.Also some patients consider they have migraine when they have tension headache. If not clear how to answer this question please seek advice from a health professional

The data you enter is stored temporarily on your computer to perform the calculation. Once you leave this page, the data is then wiped. No data is transmitted.

© SWA 2017 for Littlewick Medical Centre. Originally coded by Patrick Halls.