Could You Have Restless Leg Syndrome?

Question 1 of 11

Do you have a family member with RLS?

AYes
BNo
AYes
BNo
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Question 2 of 11

Do you have any of these conditions?

ADiabetes
BAnemia
CKidney failure
DNone
EPeripheral neuropathy
ADiabetes
BAnemia
CKidney failure
DNone
EPeripheral neuropathy
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Question 3 of 11

Are you pregnant?

ANo
BYes
ANo
BYes
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Question 4 of 11

Do you frequently feel an urge to move your legs, accompanied or caused by an uncomfortable sensation?

AYes
BNo
AYes
BNo
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Question 5 of 11

What does the sensation feel like?

ASharp pain
BUrge to fidget, such as foot tapping
CCreeping, throbbing or tingling
ASharp pain
BUrge to fidget, such as foot tapping
CCreeping, throbbing or tingling
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Question 6 of 11

What time of day do your symptoms worsen?

AMorning
BEvening/Night
CAfternoon
AMorning
BEvening/Night
CAfternoon
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Question 7 of 11

Are you experiencing sleep deprivation due to these symptoms?

ANo
BYes
ANo
BYes
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Question 8 of 11

Have you noticed problems with concentration or memory during the day?

AYes
BNo
AYes
BNo
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Question 9 of 11

Do you have trouble sitting still on planes, during movies or in meetings?

ANo
BYes
ANo
BYes
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Question 10 of 11

Is the urge relieved or partially relieved by walking or stretching or as long as movement continues?

AYes
BNo
AYes
BNo
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Question 11 of 11

Do you take any of these medications?

ANone
BAnti-depressants that increase serotonin
CAnti-psychotic drugs
DAnti-nausea drugs
ANone
BAnti-depressants that increase serotonin
CAnti-psychotic drugs
DAnti-nausea drugs
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Complete all questions to see your results