Vascular Quality of Life Questionnaire – Vascu-QoL

In the past two weeks, how much has the pain in your leg(s) interfered with your sleep?

In the past two weeks, how much pain have you had in your leg(s) when walking?

In the past two weeks, how much pain have you had in your leg(s) at rest during the day?

In the past two weeks, how much pain have you had in your leg(s) at night?

In the past two weeks, how much has the pain in your leg(s) limited the distance you can walk?

In the past two weeks, how much of the time have your legs felt tired or weak?

In the past two weeks, how much of the time have you had swelling in your leg(s)?

In the past two weeks, how much of the time have you had numbness or tingling in your leg(s)?

In the past two weeks, how much of the time have you had coldness in your leg(s) or foot/feet?

In the past two weeks, how much limit has there been on your ability to walk?

In the past two weeks, how much limit has there been on your ability to climb stairs?

In the past two weeks, how much limit has there been on your ability to stand for long periods?

In the past two weeks, how much limit has there been on your ability to kneel or bend?

In the past two weeks, how much limit has there been on your ability to do housework or gardening?

In the past two weeks, how much limit has there been on your ability to go shopping?

In the past two weeks, how much limit has there been on your ability to participate in social activities?

In the past two weeks, how much limit has there been on your ability to participate in leisure activities?

In the past two weeks, how much of the time have you felt frustrated because of your leg trouble?

In the past two weeks, how much of the time have you felt downhearted or blue because of your leg trouble?

In the past two weeks, how much of the time have you felt anxious or worried about your leg trouble?

In the past two weeks, how much of the time have you felt concerned about injuring your leg(s)?

In the past two weeks, how much of the time have you felt self-conscious about the appearance of your leg(s)?

In the past two weeks, how much of the time have you felt that your leg trouble has made you a burden to your family or friends?

In the past two weeks, how much of the time has your leg trouble limited your social life?

In the past two weeks, how much of the time has your leg trouble limited your ability to visit friends or relatives?