乾癬がある場合は、このアンケートにご記入ください。 COVID-19感染の症状もある場合は、症状が現れてから少なくとも2週間待ってから参加してください。

完了するまでに約10分かかります。必要に応じて、後でフォームに保存して戻ることができます。


あなたの重要な貢献に感謝します。

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.