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All questions are required unless otherwise indicated.

Step 1: Tell us about your care team

Step 2: Talk symptoms and flare-ups

How often as well as how intensely you experience symptoms like unrelenting itch and rash are important metrics. They help your healthcare provider assess your eczema's impact and determine treatment options.

Step 3: Map out your symptoms (optional)

Before your care team personalize your treatment plan, they need to understand your eczema's severity. The surface area of your symptom—and whether or not they appear on visible or difficult-to-treat body parts—is a key factor.

To complete your body map:

  1. Select an area of your body where your eczema symptoms affect you.
  2. Once selected, rate the level of symptoms for that location

Repeat these steps for all areas of your body where you experience eczema. If you prefer, you can skip this step and save this exercise for after you receive your Doctor Discussion Guide results.

Attention: Any selections from the visual body map selector will not be reflected in the accessible list view.

Symptom Selector

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Select a part to indicate the level of severity of your symptoms
Symptom Level
Front view
Back view

Step 3: Map out your symptoms (optional)

Before your care team personalize your treatment plan, they need to understand your eczema's severity. The surface area of your symptom—and whether or not they appear on visible or difficult-to-treat body parts—is a key factor.

These are the areas you selected. If correct, click "Next". If incorrect, click "Back" to make changes.

Symptom Selector Summary

Front view
Back view

Step 4: Discuss the true impact of itch & rash with your care team

Eczema can be difficult to describe, especially since symptoms like itch and rash impact everyone differently. Talk to your healthcare provider about how these symptoms affect you—particularly if they're still uncontrolled with your current treatment or you're experiencing a flare-up.

Fill in the blank to complete the statement: (optional)

Maximum 280 characters allowed

Step 5: Share your treatment history

If your eczema symptoms are still uncontrolled, it might be time to try a different treatment. To find out, go over both your prior and current therapies with your healthcare provider—plus if and why you're unsatisfied with the results. This will help them to understand more about your treatment goals.

Step 6: Voice your treatment goals (optional)

What you say matters. Clear communication about your symptoms and goals is crucial to finding the right treatment plan for you.

Fill in the blanks to create your treatment goal:

I've been on my current treatment for

year(s) and

month(s),

Maximum 280 characters allowed

Maximum 280 characters allowed

My Personalized Doctor Discussion Guide

You're all set!

Download or email your results to bring to your next appointment. Use it as a customized
checklist of important topics to discuss with your care team.

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