1. Name (Optional) :
2. U.S. Consulate where you submitted your visa application :
3. Date of visa interview :
4. How long did you wait to get an appointment for an interview?
5. Has your visa been approved?
Yes (If you answered yes, please skip to #10.)
No
6. If you answered no, is your application still pending or has it been denied?
Pending
Denied
7. If it is still pending, please indicate the reason:
Sent to Washington for clearance
Pending for other reasons (please indicate reason if known):
8. If your application was denied, please indicate the reason for the visa denial:
9. If your visa was denied, do you have an appointment for a second interview?
Yes
No
10. Please provide any additional information that might be helpful.
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