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Treatment Survey

As part of NAAF's commitment to finding an acceptable treatment for alopecia areata, it is important that we adequately understand the needs of our patients so that we can translate this need to the decision makers within targeted Pharmaceutical Companies as well as the Food & Drug Administration (FDA). Please take a moment to complete this survey and let us know just how important alopecia areata treatment options are to you!

*1.


*2.
Question - Required - If there was an acceptable treatment option that was not covered by your insurance company, how much would you be willing to pay out of pocket? (per month)








3.


*4.
Question - Required - If there was an acceptable treatment option, what side effects would you be willing to endure?

*5.
Question - Required - How important is having an acceptable treatment option for alopecia areata to you (or your child)?





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