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Survey on Patients with Psoriasis to Find out Vitamin D Deficiency
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Survio
1
Are you diagnosed with psoriasis?
Please select yes if you have been diagnosed with psoriasis, otherwise select no.
Yes
No
2
On a scale of 1-10, how severe is your psoriasis?
Rate the severity of your psoriasis on a scale of 1 to 10, where 1 is least severe and 10 is most severe.
3
Do you take vitamin D supplements?
Please provide your response.
Yes
No
4
How often do you expose your skin to sunlight?
Please provide details about your sun exposure habits.
5
Have you ever been tested for vitamin D levels?
Please select yes if you have been tested for vitamin D levels, otherwise select no.
Yes
No
6
What is your age group?
Please select the appropriate age group.
Under 18
18-30
31-45
46-60
Over 60
7
Do you consume foods rich in vitamin D?
Please provide information about your diet.
Regularly
Occasionally
Rarely
8
How knowledgeable are you about the importance of vitamin D for skin health?
Rate your knowledge on a scale of 1 to 10, where 1 is least knowledgeable and 10 is highly knowledgeable.
9
Do you experience fatigue or muscle weakness?
Please select yes if you experience fatigue or muscle weakness, otherwise select no.
Yes
No
10
Any other comments or information you would like to share regarding psoriasis and vitamin D deficiency?
Feel free to share any additional details.
Submit