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Quiracnetics

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

What is your age?

2

What is your gender?

3

How would you rate the severity of your current acne?

4

At what age did you first experience acne?

Select one or more answers
5

How often does acne impact your daily confidence?

6

Statement; ''Acne has affected my mental health?

7

What treatments have you tried?

You can select multiple answers
8

What lifestyle factors affect your acne?

You can select multiple
9

Would you be interested in comprehensive acne management support?