Vein Patient
Outreach Survey

Do you have, or been treated for, varicose veins or spider veins?

Do your legs feel heavy, ache, throb or itch?

Have you experienced swelling, skin color changes or an ulcer in your legs?

If you answered YES to any of these questions, please take just 5 minutes to complete this very important, anonymous survey so that we can help doctors provide better patient care and education.  

The American Venous Forum

The American Venous Forum is committed to promoting vein and lymphatic health through education and disease awareness. 

As someone who has experienced, or is currently experiencing, leg symptoms or vein disease, your answers to these survey questions will help us provide the information that patients are looking for, where they are looking for it.

If you have any questions about this survey or how the results will be used, please contact Jeff Mendola, AVF Director of Mission Advancement, at

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