Find us on
clinicaltrials.gov
Take Survey
Atopic Dermatitis Clinical Trial Follow Up Questionnaire
Δ
Step
1
of
6
- Basic Eligibility
16%
Are you between 18 and 75 years old?
(Required)
Yes
No
Have you been told by a doctor or healthcare provider that you have eczema or atopic dermatitis?
(Required)
Yes
No
Have you had eczema for at least one year?
(Required)
Yes
No
Would you describe your eczema as moderate or severe most days?
(Required)
Yes
No
On a scale of 0 to 10, where 0 is no itch and 10 is the worst itch imaginable, is your itch usually 4 or higher?
(Required)
1
2
3
4
5
6
7
8
9
10
Can you describe all the places on your body where you have eczema and how much is in each area?
(Required)
Have you had eczema symptoms or flares in the past few weeks?
(Required)
Yes
No
Have you used prescription creams or ointments for eczema, such as steroid creams or other prescription skin medicines?
(Required)
Yes
No
While you were taking these treatments, did these treatments stop working, not help enough, or cause side effects?
(Required)
Yes
No
Have you ever taken pills or injections for eczema, such as oral steroids or biologic injections?
(Required)
Yes
No
Was your most recent use of these treatments (prescription creams, ointments, pills, or injections) within the past year?
(Required)
Yes
No
Are you currently using any prescription treatments for eczema?
(Required)
Yes
No
If needed, would you be willing to stop certain eczema medicines for a short time before beginning a study?
(Required)
Yes
No
Have you been diagnosed with another long-term skin condition, such as psoriasis?
(Required)
Yes
No
Have you had any recent or ongoing skin infections?
(Required)
Yes
No
Do you have a serious or uncontrolled health problem that requires regular medical care?
(Required)
Yes
No
Are you able to swallow tablets or pills?
(Required)
Yes
No
Would you be willing to have blood samples taken and photos of your skin as part of the study?
(Required)
Yes
No
Email
(Required)