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Venous Disease Coalition

Resources : DVT and PE Risk Assessment

DVT and PE Risk Assessment : Take the Quiz

These are some of the risk factors for getting blood clots. Indicate those you may have to find out if you may be at risk. (Check all that apply)

Hospitalization with an acute medical illness
Recent or planned major surgery
Major trauma or injuries to the leg
Previous blood clots
A family history of blood clots
Immobility (for example, long travel periods without walking or stretching, or lying in bed for long periods of time)
Cancer and its treatment
Pregnancy
Using birth control pills or hormone replacement therapy
Smoking
Obesity
You have 0 risk factors indicated.

You are NOT currently at risk of getting blood clots.  However, if risk factors change, your risk may increase.

You have “” risk factor/s indicated. 

Your answers indicate you may be at risk of having Deep Vein Thrombosis and Pulmonary Embolism. The more risk factors you have, the greater your risk of getting DVT and PE.

Print this report and talk with your healthcare professional about DVT and PE, and the risk factors you have.
 

Print this report

Learn More: What are the signs and symptoms of DVT and PE?

Click here for more info about DVT | Click here for more info about PE


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