Exit this survey Nationwide - Inflammatory Disease Plaza Research Paramus is currently looking for people who have been diagnosed with the inflammatory disease, Ankylosing Spondylitis for an upcoming study. If this describes you and you are interested in participating please fill out our survey. * 1. Please fill out your contact information. Name: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address: Phone Number: * 2. Have you been diagnosed by a healthcare professional as having Ankylosing Spondylitis? Yes No * 3. What year was your condition first diagnosed? * 4. Are you currently taking prescription medication to treat your condition? Yes No * 5. If taking medication for your condition, how long have you been taking prescription medication as a treatment for the condition? * 6. What type of treatment are you currently taking for your Ankylosing Spondylitis? Oral Treatment Injectable treatment Both oral and Injectable treatments * 7. What is the name of the prescription you are currently taking to treat your condition? * 8. If you had taken any other prescriptions prior for your condition what were they? Thank you for taking the time to complete our online survey. To submit your answers, please click "done" below. If you appear to qualify based on your responses and we have not reached our quotas yet a recruiter from our Paramus, NJ office will be calling you for scheduling.Thank you! Done
