Your (Your Child's) Current Eczema Treatment
Print this questionnaire and share your answers with your physician. Your answers will help you and your doctor determine the best treatment for you.
How severe Is the type of eczema in question?
How well are you able to control your (child's) eczema?
What do you do when you (or your child) have a flare-up?
How frequently do you experience flare-ups?
Do you (or your child) use medication to control the eczema?
Is your (child's) eczema medication steroid-free?
Do you notice any side effects with your (child's) eczema medication?
How soon after eczema symptoms appear do you begin treatment?
Do eczema symptoms appear on areas such as the face, neck, and around the eyes?
How do you prevent itchy skin and rashes from becoming worse?
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