Please fill out the following survey to help determine the effect of rosacea on social situations. Results will appear in the National Rosacea Society's newsletter, Rosacea Review, and on rosacea.org.

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* 1. Which features of rosacea do you experience? (Check all that apply.)

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* 2. Does a flare-up of symptoms bring unwanted attention to your appearance in social situations?

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* 3. Does unwanted focus on your rosacea affect how you perceive yourself?

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* 4. Has the appearance of your skin ever made you act differently or even avoid social situations?

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* 5. Has talking about your rosacea with others improved your experience of social situations?

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* 6. Are you:

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* 7. Are you:

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* 8. Comments:

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* 9. Would you like to receive information on rosacea? Join the National Rosacea Society mailing list by providing your name and email below. 

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