Thank you for your interest in this clinical research study. Before you continue, please take a few minutes to read the information below and complete a short eligibility questionnaire.

This questionnaire helps the study team understand your eczema history, current symptoms, and previous treatments. Your answers are confidential and will only be used to determine whether you may be a potential match for this study.

What to expect

• About 8 questions covering date of birth, medical history, symptoms, and prescription treatments
• You can complete it for yourself, or on behalf of a patient (answer as the patient whenever “you” is used)
• Most people finish in 3–5 minutes
• There is no cost to complete the questionnaire, and it does not enroll you in the study

Who this study may be for

• Adults who have been diagnosed with moderate to severe eczema / atopic dermatitis
• People who still have symptoms such as itching, redness, dry or thickened skin, or sleep disruption from itch
• People who have used (or considered) prescription creams or ointments in the past year

If you appear to qualify

You will be asked for contact details and, where available, can choose a nearby study center. A member of the research team may then reach out to discuss the study, answer questions, and schedule a screening visit. Completing this form does not guarantee enrollment.

If you do not appear to qualify

You will still receive a thank-you message. Depending on your responses, the site may keep your information in case you become eligible in the future, or you may be invited to learn about other studies.

Please answer as accurately as you can. If you are unsure of a date or duration, provide your best estimate.