EmPPOWER Study Questionnaire: National Psoriasis Foundation

EmPPOWER Study Questionnaire

Are you 18 years of age or older?

YesNo

Have you been diagnosed with plaque psoriasis?

YesNo

Do you have psoriasis on greater than or equal to 5% of your body surface area? (One percent is roughly equivalent to the size of your hand)

YesNo

Are you currently receiving care from a dermatology provider (this may include a board-certified dermatologist, nurse practitioner, or physician assistant)?

YesNo

Do you live in the United States?

YesNo

Are you able to read and understand English?

YesNo

Do you have a smartphone?

YesNo

First name

Last name

Email address

Phone number

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