The National Rosacea Society is a 501(c)(3) nonprofit organization whose mission is to improve the lives of people with rosacea by raising awareness, providing public health information and supporting medical research on this widespread but little-known disorder.

* 1. Have you been diagnosed with rosacea by a medical doctor?

* 2. If yes, what age were you when you were diagnosed with rosacea?

* 3. How extensive is your rosacea?

* 4. What symptoms do you experience?

* 5. Are you:

* 6. Are you:

* 7. Please describe your race/ethnicity. Check all that apply.

* 8. Where do you live?

* 9. If you live in the U.S., in which region do you live?

* 10. What's the highest level of education you've completed?

* 11. What is your annual income?

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