Posted: December 22nd, 2021
Category:
1. How old are you?
%field:ext_q1%2. How long have you had Chronic Hives?
%field:ext_q2%3. Have you been diagnosed by a medical doctor with Chronic Urticaria (Chronic Hives)?
%field:ext_q3%4. Do you know what triggers your hives?
Mark all that apply:
%field:ext_q4%
5. Do you continue to have symptoms of Chronic Urticaria (e.g., hives, itching and/or swelling) after treatment with antihistamines??
Common types of antihistamines include but not limited to:
- Brompheniramine (Dimetane®)
- Cetirizine (Zyrtec®)
- Chlorpheniramine (Chlor-Trimeton®)
- Clemastine (Tavist®)
- Diphenhydramine (Benadryl®)
- Fexofenadine (Allegra®)
- Loratadine (Alavert®, Claritin®)
- Desloratidine
- Levocetirizine
- Rupatadine
6. Are you pregnant? Or, plan to be pregnant in the next 16 months?
%field:ext_q6%7. Do you have any of the following conditions? Mark all that apply:
%field:ext_q7%8. What is your zip code?
%field:zip%