Reader Survey on Regimen Consistency

Question Title

* 1. How many days out of the last 7 did you use topical medications as prescribed?

0

1

2

3

4

5

6

7

N/A

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* 2. How many days out of the last 7 did you take oral medications as prescribed?

0

1

2

3

4

5

6

7

N/A

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* 3. How many days out of the last 7 did you use a gentle skin care routine in the morning?

0

1

2

3

4

5

6

7

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* 4. How many days out of the last 7 did you use a gentle skin care routine in the evening?

0

1

2

3

4

5

6

7

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* 5. How many days out of the last 7 did you apply sunscreen to your face?

0

1

2

3

4

5

6

7

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* 6. What's one thing you could do today to help yourself be more consistent with your rosacea regiment tomorrow?

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* 7. Are you:

Male

Female

Non-binary/other

Prefer not to answer

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* 8. Are you:

Under 30

30-39

40-49

50-59

60-69

70 or older

Prefer not to answer

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* 9. Comments

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* 10. Would you like to receive information on rosacea? Join the National Rosacea Society mailing list by providing your name, email and (optionally) address below.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number