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* 1. Name

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* 2. Email

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* 3. Following the session, would you include your varicose vein patients in the development of their treatment plan?

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* 4. Following the session, would you routinely evaluate your Varicose Vein patients using your varicose vein patients using the CEAP classification system?

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* 5. Following the session, how confident are you in using the CEAP classification system?

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* 6. Following the session, would 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. Following the session, would you routinely measure reflux time with Duplex scan in your patients in the standing position, whenever possible?

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

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* 9. Following the session, would 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 35 year old woman presents with painful varicose veins 8 months after delivering her first child. Duplex scan shows reflux in the right GSV to be 1.5sec 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 44 year old male has huge symptomatic varicose veins of the left lower extremity. Duplex scan shows reflux in the GSV to be 4.5 sec at three different locations, the vein is 13 mm in diameter. You recommend this patient undergo: (check all that apply)

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

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* 13. Following the session, would you routinely treat varicose tributaries concomitant with saphenous ablation?

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* 14. Following the session, how confident are you in treating varicose tributaries concomitant with saphenous ablation?

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* 15. Following the session, how confident are you in performing venous ablation procedures?

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