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Survey for people with Autoimmune diesease

Take part in our survey for people living with autoimmune diseases and share your experiences. Help us gather valuable insights on the challenges and treatments faced by individuals with autoimmune conditions.

3 minutes to complete

Questions for Survey for people with Autoimmune diesease

Questions

1.

What type of autoimmune disease have you been diagnosed with?

The answer should be a multiple choice:
  1. Rheumatoid Arthritis
  2. Lupus (SLE)
  3. Multiple Sclerosis
  4. Hashimoto's Thyroiditis
  5. Crohn's Disease
2.

How long have you been living with your autoimmune disease?

The answer should be a single choice:
  1. Less than a year
  2. 1-5 years
  3. 6-10 years
  4. More than 10 years
3.

How would you rate your overall health since being diagnosed?

The answer should be a single choice:
  1. Excellent
  2. Good
  3. Fair
  4. Poor
4.

How frequently do you experience symptoms related to your autoimmune disease?

The answer should be a single choice:
  1. Daily
  2. Weekly
  3. Monthly
  4. Rarely
5.

Have you sought treatment or management for your condition?

The answer should be a single choice:
  1. Yes, currently receiving treatment
  2. Yes, previously received treatment
  3. No
6.

What types of treatments or therapies have you utilized?

The answer should be a multiple choice:
  1. Medication (prescription or over-the-counter)
  2. Physical therapy
  3. Dietary changes
  4. Alternative therapies (e.g., acupuncture, herbal remedies)
7.

How well do you feel your healthcare providers understand your condition?

The answer should be a single choice:
  1. Very well
  2. Well
  3. Neutral
  4. Poorly
8.

Do you feel supported by family and friends regarding your condition?

The answer should be a single choice:
  1. Very supported
  2. Somewhat supported
  3. Neutral
  4. Not supported
9.

What challenges do you face in managing your autoimmune disease?

The answer should be a text input.
10.

Have you experienced any workplace accommodations related to your autoimmune disease?

The answer should be a single choice:
  1. No
11.

How would you rate your overall quality of life since being diagnosed?

The answer should be a single choice:
  1. Excellent
  2. Good
  3. Fair
  4. Poor
12.

Any additional comments or feedback regarding your experience with autoimmune disease?

The answer should be a text input.

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Here are some FAQs and additional information
on
Survey for people with Autoimmune diesease

What is the purpose of the survey for people with autoimmune disease?

The purpose of the survey is to gather valuable insights and data from individuals living with autoimmune diseases to better understand their experiences and needs.

How will my responses be used?

Your responses will be used to inform research studies, develop new treatments, and improve healthcare services for individuals with autoimmune diseases.

Is my information secure and confidential?

Yes, your information will be kept confidential and only used for research purposes. Your privacy is our top priority.

Can I participate in the survey if I have multiple autoimmune diseases?

Yes, individuals with multiple autoimmune diseases are encouraged to participate in the survey to provide comprehensive insights.

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