Prescreening Questions

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To help determine your eligibility for this study, you can choose to answer the initial questions online now or complete them online later.

How would you like to answer your 5 initial questions? *

Complete these questions now

Email this to me to complete later

Question #1/5

Have you had moderate to severe eczema (also known as atopic dermatitis) for at least 1 year? *

Yes

No

Question #2/5

Have you tried eczema creams or ointments before that have not been effective treatments? *

Yes

No

Question #3/5

Are you currently using an over-the-counter moisturizer (e.g., Eucerin Eczema Relief Cream, CeraVe Moisturizing Cream, Aveeno Eczema Therapy Moisturizing Cream, etc.) for your eczema? *

Yes

No

Question #4/5

In the past 4 weeks, have you used any systemic immune treatments (like steroid pills, methotrexate), phototherapy, or laser treatments? *

Yes

No

Question #5/5

Are you a female who is currently pregnant, breast feeding, or trying to conceive? *

Yes

No

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