Survey: ACNE Breakouts and Blemishes on Face or Back.

Greetings --thank you for taking our survey for people who experience acne breakouts and blemishes. We have a client interested in conducting a study among persons with acne blemishes and breakouts. The study (if obtained) will likely be run in the Winter/Spring of 2024. Two visits - both expected to take 1-1.5 hours. Compensation is currently expected to be $250-300 if you qualify and complete all visits.

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* 1. First name (your personal information is never shared with anyone else)

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* 2. Last name

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* 3. Telephone number

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* 4. Email address

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* 5. Our studies often require one or more onsite visits. Our office is located at 2520 Broadway Street N.E. Minneapolis 55413 -- Would you be able to attend onsite visits to our facility? You would know all study dates and time commitments prior to entering the study to ensure you can make all visits.

Yes

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* 6. What is your gender?

Male

Female

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* 7. What is your age?

Under 18

18-24

25-30

31-35

36-40

41-45

46-50

51+

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* 8. Which race/ethnicity best describes you? (Please choose only one.)

Native

East Asian (defined as Japanese, Korean, Chinese, Mongolia, Hong Kong, Taiwan, Macau)

Other Asian (country not listed above)

Black or African American

Hispanic

White / Caucasian (non-Hispanic)

Multiple ethnicity / Other (please specify)

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* 9. Do you experience acne blemishes or breakouts on your face?

Yes

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* 10. How often do you experience facial acne blemishes or breakouts?

1-3 days per month

3-7 days per month

7-14 days per month

14-21 days per month

21-31 days per month

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* 11. Do you experience acne on your back

Yes

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* 12. How often do you experience back acne blemishes or breakouts?

1-3 days per month

3-7 days per month

7-14 days per month

14-21 days per month

21-31 days per month

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* 13. Do you take prescription medication (oral or topical) to help eliminate acne blemishes or breakouts?

Yes

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* 14. What do you currently use or do to help calm your acne blemishes or breakouts? (If none, please type none or N/A)

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* 15. Which photo above most closely resembles your typical facial acne blemishes or breakouts?

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* 16. In the last 6 months have you smoked or vaped nicotine?

Yes

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* 17. Do you have active symptoms of atopic dermatitis, psoriasis, or diabetes?

Yes

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* 18. Do you have chronic seasonal allergies, Hashimoto’s Disease, Rheumatoid Arthritis, Lupus, or cancer?

Yes

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* 19. Have you in the last 30 days had any significant facial procedures, like facelift, botox, chemical peel, brow lift, eye lift?

Yes