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* 1. Name

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* 2. Email

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* 3. Do you currently include your varicose vein patients in the development of their treatment plan?

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* 4. Do you routinely evaluate your varicose vein patients using the CEAP classification system?

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* 5. How confident are you in using the CEAP classification system?

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* 6. Do you routinely measure reflux time with Duplex scan in your patients at three sites for saphenous incompetence (junction, proximal thigh, knee)?

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* 7. Do you routinely measure reflux time with Duplex scan in your patients in the standing position, whenever possible?

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* 8. Do you routinely measure superficial truncal vein diameters with Duplex scan in your patients in the standing position, whenever possible?

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* 9. Do you preferentially recommend intervention over long-term stockings in patients with symptomatic varicose veins, if they are suitable candidates for intervention?

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* 10. A 29 yo woman presents with painful varicose veins 9 months after delivering her first child. She has several varicose tributaries on the thigh and calf. Duplex scan shows reflux in the right GSV to be 1.8 sec at three different locations, the vein is 8 mm in diameter. You recommend this patient undergo : (check all that apply)

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* 11. A 40 yo male has huge symptomatic varicose veins of the right lower extremity. Duplex scan shows reflux in the GSV to be 3.5 sec at three different locations. The patient has an aneurysm of the saphenofemoral junction that measure 3.5 cm.  the vein is 12 mm in diameter. You recommend this patient undergo : (check all that apply)

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* 12. Do you routinely interrupt incompetent perforators in patients with C2 varicose veins, concomitant with saphenous ablation and varicose vein treatment?

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* 13. Do you routinely treat varicose tributaries concomitant with saphenous ablation?

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* 14. Do you routinely obtain post-procedure ultrasound in an average to low-risk patient following thermal ablation?

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* 15. How confident are you in performing venous ablation procedures?

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