Your Experience Counts

Help us continue to learn about the effects of rosacea by completing this short online survey.

Please complete the following questions regarding your rosacea symptoms and treatment.

1. Gender:

Female
Male

2. What type of physician diagnosed your rosacea?

Dermatologist
Primary care physician
Other type of physician
I have not been diagnosed with rosacea

3. What type of physician is treating your rosacea?

Dermatologist
Primary care physician
Other type of physician
I am not treating my rosacea

4. How do you currently treat your rosacea? (Check all that apply)

Avoid triggers such as sun exposure or spicy foods
Over the counter topical treatment
Prescription topical treatment
Prescription oral antibiotic treatment
Light therapy
Laser therapy

5. How satisfied are you with the available treatments for rosacea?

Very satisfied
Satisfied
No opinion
Somewhat satisfied
Not at all satisfied

6. Which of the following statements would keep you from taking your treatment as described? (Check all that apply)

I forget to take my medicine
My treatment has to be taken or applied too many times a day
My treatment causes unwanted or painful side effects
My treatment is not effective in controlling my symptoms on a         long-term basis
My treatment is too expensive
My treatment interferes with my lifestyle
I worry about building up a resistance to antibiotics

7. What concerns you most about your treatment for rosacea? (Check all that apply)

My treatment has to be applied topically
My treatment has to be taken orally
My treatment has to be taken or applied more than once a day
My treatment causes unwanted side effects
My treatment is not effective in controlling my symptoms on a         long-term basis
My treatment is effective, but cannot be taken long-term due to         antibiotic resistance

8. How likely are you to try a new treatment for rosacea?

Very likely
Likely
Don't know
Somewhat likely
Not at all likely

9. How likely are you to consider using a non-anitbiotic oral medication for the long-term treatment of rosacea?

Very likely
Likely
Don't know
Somewhat likely
Not at all likely