FACET ECZEMA Study

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utm_source

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Are you aged 18 to 64?* This field is required.

YESNO

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Are you a current user of the Facet platform?* This field is required.

YESNO

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Are you diagnosed with mild or moderate Eczema?* This field is required.

YESNO

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Do you currently have an active area of eczema on your torso, arms, legs, neck, hands or feet?* This field is required.

YESNO

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Do you have a smart device (phone or tablet) in order to take photos of your active area of eczema?* This field is required.

YESNO

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Do you have a sensitivity, intolerance, or allergy to Aveeno Body wash or Body Cream products?* This field is required.

YESNO

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Do you have a history of allergic reactions or sensitivity to common topical skin care products?* This field is required.

YESNO

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Great, you're likely to be eligible for this study! Do you consent to the information entered here and your medical history being stored by Lindus Health, subject to the terms of our privacy policy, and being shared with the research team?* This field is required.Your consent is necessary in order to proceed. We will never share your data without your explicit consent. We may contact you about relevant future research opportunities, and you can opt-out of this at any time

YESNO

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What is your full name?* This field is required.In the following questions we will just ask for your name, email, and phone number so that the research team can contact you.

First Name

Last Name

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What is your preferred name?* This field is required.

Preferred Name

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What is your email address?* This field is required.In the following questions we will just ask for your name, email, and phone number so that the research team can contact you.

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What is your phone number?* This field is required.Your mobile number will only be shared with the research team to contact you about this study.

Please enter a valid phone number.

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Thank you for completing this survey!
You're now ready to book in a call with the study team.

As soon as you click Submit, you will be redirected to book an appointment
with the study nurse at a time that is convenient for you.

If you have any questions, please email eczema@lindushealth.com
or call us on (833) 741-4481.