Skip to content
Hidradenitis Suppurativa (HS) Focus Group
Answer the questions to the best of your ability!
1.
First Name
2.
Last Name
3.
Race
White
Black or African American
Hispanic or Latino
Asian
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
4.
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
5.
Gender
Male
Female
Non-binary
Other
Prefer not to say
6.
Location
City/Town
State/Province
ZIP/Postal Code
Country
7.
Email
8.
Phone Number
9.
Have you been diagnosed with hidradenitis suppurativa (HS)
Yes
No
10.
How long have you been living with HS?
Less than 1 year
1-5 years
5 years or more
11.
Are you currently receiving medical treatment for HS?
Yes
No
12.
Communication Preferences
Phone
Email
Text
13.
Please feel free to provide any additional information or comments that you think are relevant to your participation in this focus group.