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Inflammatory Skin Disease Treatment Questionnaire.

The following questionnaire is designed to identify some of the challenges individuals and families face in the treatment of inflammatory skin disease. Please read the following statements and select which choice best describes that statement. If there are many members of your family with inflammatory skin disease, please pick one individual for whom you will base your answers. Please describe that individual's age and gender in the fields below.

After answering the following questions please click submit .

You/Your Child's Age:

You/Your Child's Gender:

Male:    Female: 
 

1. The cost of my/my child's medications makes it difficult to treat the skin disease.

Strongly disagree Disagree Neutral Agree Strongly Agree

2. Concern for side effects of topical steroids (hydrocortisone/triamcinolone/ etc ... ) limits my desire to use them.

Strongly disagree Disagree Neutral Agree Strongly Agree

3. I have been given instructions on how to treat and manage my/my child's skin disease within the past year.

Strongly disagree Disagree Neutral Agree Strongly Agree

4. I prefer to use alternative/natural methods and home remedies instead of prescriptions medications to treat my/my child's skin disease.

Strongly disagree Disagree Neutral Agree Strongly Agree

5. Skin diseases such as eczema and psoriasis are life long diseases in need of preventative care.

Strongly disagree Disagree Neutral Agree Strongly Agree

6. It takes too much time to apply all the moisturizers and topical medications needed to manage my/my child's skin disease.

Strongly disagree Disagree Neutral Agree Strongly Agree

7. Skin diseases such as eczema and psoriasis should be treated with moisturizers/emollients when the skin is doing well (not flaring).

Strongly disagree Disagree Neutral Agree Strongly Agree

8. I feel comfortable managing and treating my/my child's skin disease.

Strongly disagree Disagree Neutral Agree Strongly Agree

9. I know what steps to take to treat my/my child's skin disease during a flare.

Strongly disagree Disagree Neutral Agree Strongly Agree

10. The treatment plan is too complex for my/my child's skin disease.

Strongly disagree Disagree Neutral Agree Strongly Agree

11. The unappealing formulation, such as smell or greasiness of my/my child's topical treatments makes it difficult to treat the disease.

Strongly disagree Disagree Neutral Agree Strongly Agree
 
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