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Qualitative Validation of CSAMI-A as a Primary Outcome Measure in Cutaneous Sarcoidosis Trials
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1.
Are you a resident of the United States?
(Required.)
Yes
No
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2.
What is your age?
(Required.)
0 - 17 years
18 - 35 years
36 - 50 years
51 - 65 years
66 - 75 years
76+ years
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3.
Have you been diagnosed with cutaneous sarcoidosis with a skin biopsy?
(Required.)
Yes
No
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4.
Are you currently experiencing CS skin symptoms and have been for at least 6 months?
(Required.)
Yes
No
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5.
Are you currently being treated by a dermatologist, pulmonologist, or rheumatologist?
(Required.)
Yes
No
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6.
Are you currently receiving systemic therapy (e.g., antimalarials [hydroxychloroquine], tetracyclines [doxycycline], oral immunosuppressants [corticosteroids, methotrexate, mycophenolate mofetil, azathioprine], or intravenous medications [adalimumab, infliximab])
(Required.)
Yes
No
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7.
How would you currently describe the severity of your overall CS skin symptoms?
(Required.)
Mild
Moderate
Severe
Very Severe
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8.
Have you been diagnosed with a skin disease other than CS that you feel is medically important and has potential to confound assessments (i.e., interfere with your ability to report only on your CS disease experience)
(Required.)
Yes
No
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9.
Is your cutaneous sarcoidosis solely subcutaneous (i.e., lesions of sarcoidosis that are solely “underneath the skin” and are not accompanied by changes in the color or texture of the skin)?
(Required.)
Yes
No
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10.
Are you pregnant?
(Required.)
Yes
No
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11.
Are you currently participating or have you participated (last 4 weeks) in a clinical trial with an investigational drug?
(Required.)
Yes
No
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12.
Are you an employee of, or relative of a member of Priovant Therapeutics or CERobs Consulting?
(Required.)
Yes
No
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13.
Do you have access to a computer or laptop computer with the ability to easily receive email?
(Required.)
Yes
No
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14.
Are you comfortable speaking, reading and understanding English?
(Required.)
Yes
No
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15.
Are you willing and able to participate in a 1:1 telephone interview lasting up to 1 hour?
(Required.)
Yes
No
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16.
Are you able to provide written informed consent to participate in this study?
(Required.)
Yes
No
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17.
Are you willing to have the interview session audio recorded?
(Required.)
Yes
No