Eczema Survey

3 minutes to complete. Thank you!

Responses to this survey will be used as a research tool to guide the content of my new children’s book on eczema. All responses are submitted to me, Marnie Hibbert and are kept confidential.

Please answer any/all questions that relate to you and ignore whatever doesn’t apply.

Name

First

Last

Email *

Are you

An adult who HAD eczema as a child
An adult who CURRENTLY has eczema
An adult completing this survey about my CHILD's eczema
An adult who is in the MEDICAL field

For ADULTS who have/had eczema, is/was your eczema?

Mild
Moderate
Severe
N/A

For ADULTS looking back, do you remember your eczema feeling

Mild
Moderate
Severe
I've forgotten how it felt
Other
N/A

What would you say to your younger eczema ridden self?

What do you remember about having eczema as a child?

What helped your eczema as a child?

Did you know what caused your eczema when you were a child?

Yes, I did
No, I didn't
Yes, but only figured out what was as an adult
No, I still don't know
N/A

How are your CHILD's eczema symptoms?

Mild
Moderate
Severe
N/A

What does your child think of their eczema?

Does their eczema stop them from participating in anything?

Have they been admitted to hospital for Eczema?

Yes
No
Nearly

Do you know what causes their eczema? If so, what are they?

Tick any that apply

Yes, I've heard of Topical Steroid Withdrawal or TSW
Yes, I've heard of No Moisture Treatment or NMT
Yes, I've heard of Moist Wound Healing or MWH
Yes, I've heard of wet dressings/bandages
Yes, I've heard of bleach baths
Yes, I know the difference between an emollient and a cream
Yes, I've heard of UV Therapy
Yes, Blood tests such as Radioallergosorbent testing (RAST) have been done
Yes, Skin Prick Tests (SPT) have been done
Yes, I have participated in eczema clinical trials
Yes, as an ADULT I underwent immunotherapy (weekly injections to reduce allergic reactions)
Yes, as a CHILD I underwent immunotherapy (weekly injections to reduce allergic reactions)
Yes, my CHILD has undergone immunotherapy (weekly injections to reduce allergic reactions)
I feel confident in managing eczema
I have tried everything to manage eczema and nothing helps

Did any of the above help or provide answers? Please share.

Does the eczema patient have many fine lines on the palms of their hands?

Yes
No
I don't know

For those working in MEDICAL fields (doctors, nurses, paramedics, dermatologists, naturopaths, healers, alternate therapists etc) I'd be grateful if you have any advice on what is important to include in my book. It will have 3 sections: 1. Eczema info, 2. Children's story and 3. Preschool age activities.

I welcome any suggestions on where I could share my book once it's published. (Eg: childcare centres, preschools, kindergartens, medical centres, maternal and child health centres, paediatricians, dermatology clinics etc.) Add your suggestions here:

Tick any that apply

Yes, please subscribe me to your mailing list to receive updates on this book and other Butterfly Publishing news that is emailed every once and a while.
Yes, please contact me if you have any further questions regarding eczema.
Yes, I understand that all survey responses will be anonymous should Butterfly Publishing want to quote any eczema experiences.

Anything else?

When you submit this form it will take you directly to Butterfly Publishing’s home page. This indicates your form has been submitted and received. This survey form will be taken down when my research is complete.

Thank you, I appreciate your time and experience sharing your responses with me. Follow this book journey on Butterfly Publishing’s social media.

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