Exit Psoriasis Spray Research Study - PreScreen Survey Question Title * 1. To determine if you pre-qualify for this psoriasis research study, we will ask you a few personal health questions. You may stop answering at any time and do not need to answer any questions that make you feel uncomfortable. All information you provide will be kept confidential and will not be shared without your permission (unless required by law). Your answers will be recorded, but your information will only be used for the purposes of this study. Do I have your permission to proceed? Yes No Question Title * 2. Are you 18 years of age or older? Yes No Question Title * 3. Please tell us about yourself: Name: Address: City/Town: State: ZIP: Email Address: Phone Number: Question Title * 4. Please write your initials Question Title * 5. If female, are you pregnant or planning a pregnancy or currently breastfeeding? Yes No N/A - Male Question Title * 6. Do you have stable plaque psoriasis? Yes No Question Title * 7. Have you participated in another clinical research study in the past month? Yes No Question Title * 8. How did you hear about this study? Facebook ad Craigslist Google ad Website Search Engine Other (please specify) Thank you for your answers. We will review your information and contact you only if you are identified as a potential candidate for this trial. Done