Hyperhidrosis Treatment Survey
Help us understand your experience with hyperhidrosis and its treatments. Your responses are confidential and will support ongoing research and care improvements.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
Gender
Male
Female
Non-binary/Other
Prefer not to say
Have you been diagnosed with hyperhidrosis by a healthcare professional?
*
Yes
No
Which areas of your body are affected by excessive sweating? (Select all that apply)
*
Palms of hands
Soles of feet
Underarms
Face/Head
Groin
Other
How would you rate the severity of your hyperhidrosis?
*
Mild
1
2
3
4
5
6
7
8
9
Severe
10
1 is Mild, 10 is Severe
Please indicate how much hyperhidrosis affects your daily life in the following areas:
*
Rows
Not at all
Slightly
Moderately
Severely
Work or school
1
2
3
4
Social interactions
5
6
7
8
Physical activity
9
10
11
12
Emotional well-being
13
14
15
16
Which treatments have you tried for hyperhidrosis? (Select all that apply)
*
Prescription antiperspirants
Oral medications
Botox injections
Iontophoresis
Microwave therapy
Surgery (sympathectomy)
I have not tried any treatments
Other
How satisfied are you with the results of the treatments you have tried?
*
1
2
3
4
5
Have you experienced any side effects from hyperhidrosis treatments? If yes, please specify.
Would you be interested in trying new or experimental treatments for hyperhidrosis in the future?
Yes
No
Not sure
Submit Survey
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