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Success with Rosacea Treatment
Please fill out the following survey about your individual success with rosacea treatment. Results will be reported in the National Rosacea Society's newsletter and on rosacea.org.
1.
Have you experienced improvement in your rosacea signs and symptoms with treatment?
Yes
Somewhat
No
2.
What have been the most successful treatments? Check all that apply.
Topical medications
Oral antibiotics
Laser treatment
Skin care products
Dietary supplements
Other (please describe)
3.
Have you experienced improvement in your rosacea signs and symptoms with lifestyle changes?
Yes
Somewhat
No
4.
What have been the most successful lifestyle changes for you? Check all that apply.
Eliminating food triggers
Eliminating alcohol
Avoiding environmental triggers
Stress relief activities
Better sleep habits
Other (Other (please describe)
5.
Have you been consistent with your treatments and lifestyle changes?
Yes
Somewhat
No
*
6.
Are you willing to be profiled on the NRS blog about your successes in treatment and lifestyle changes? Please check the box and enter your contact info below.
(Required.)
Yes
No
7.
Please provide your contact information.
Name
Address
City
State
Zip Code
Email Address
8.
Would you like to receive the latest information on rosacea? Join the NRS mailing list by providing your contact information below.
Name
Email address
