Skip to content

Psoriasis Research Study at Epiphany Dermatology of Kansas

Got Psoriasis? You may qualify for a research study.

Below is a pre-screening survey to help us determine your qualification in one of our studies. You may stop the survey at anytime. All information provided is confidential. 
1.What is your first name?
2.What is your last name?
3.Phone Number:
4.Email: 
5.If female, are you currently pregnant or planning a pregnancy or nursing?
6.How would you describe the appearance of your psoriasis?
7.On an average day, how much Psoriasis do you have covering your Body Surface Area (your entire body)?  (Using your palm to measure, Your palm=1% Body Surface Area)
8.Which therapies are you currently using for your Psoriasis?
9.Have you had a medical diagnosis of psoriasis for at least 6 months?
10.Have you participated in a research study within the last 6 months?