Male Female
White
Black or African American
South Asian (India, Pakistan, Bangalore, etc)
East Asian (China, Korea, Japan, Taiwan, Hong Kong, etc)
South East Asian (Philippines, Vietnam, Malaysia, etc)
Other Asian
Pacific Islander
Other Race
Mixed race (check the relevant boxes above in addition to this box)
Are you of Hispanic, Latino, or Spanish origin?
* must provide value
Yes No
Where were you born?
* must provide value
In the United States
Outside of the United States
Which country were you born in?
Are you a citizen of the United States?
* must provide value
Yes, born in the US
Yes, by naturalization
No, not a US citizen
How many years have you lived in the United States?
* must provide value
Do you speak a language other than English at home?
* must provide value
Yes
Yes, but I mostly speak English at home
No
If you speak another language at home, what language?
Which of the following ranges best describes your total yearly household income?
* must provide value
Less than $20,000
$20,000-$34,999
$35,000-$49,999
$50,000-$100,000
More than $100,000
Prefer not to answer
Which type most describes you skin?
* must provide value
Skin type I: Always burns, does not tan (very white)
Skin type II: Burns easily, tans poorly (white)
Skin type III: Tans after initial burn (white to olive)
Skin type IV: Burns minimally, tans easily (olive)
Skin type V: Rarely burns, tans darkly easily (dark brown)
Skin type VI: Never burns, always tans darkly (black)
How severe do you think your acne is?
* must provide value
Do you see a healthcare professional for your acne?
* must provide value
Yes, I see a dermatologist
Yes, I see a healthcare professional other than a dermatologist
Yes, I have seen a dermatologist or healthcare professional in the past for my acne
No, I have never seen a healthcare professional for my acne
What do you currently do to treat your acne? (check all that apply)
* must provide value
Have you ever stopped your current treatment for acne because you thought it would do more harm than good?
* must provide value
Yes No
Has your current treatment improved your acne?
* must provide value
Yes, I am satisfied with the improvement
Yes, but I am not satisfied with the improvement
No, it hasn't improved my acne
Rank your top choice for treatment. This is the treatment you would rank number 1 on your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/Facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescriptions washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy
Select your 2nd most preferred treatment. This is the treatment you would rank number 2 on your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/Facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescriptions washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy None
Select your 3rd most preferred treatment. This is the treatment you would rank number 3 on your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/Facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescriptions washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy None
What is the most important reason for choosing over the counter acne cleansers/lotions?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing masks/facials?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc)?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing prescription washes/foams/creams/gels?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing oral antibiotics?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing oral contraceptives?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing isotretinoin?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
What is the most important reason for choosing laser or light therapy?
* must provide value
Effective
Safe
Less expensive
Ease of use
Not painful
Low recurrence (acne won't come back)
Short length of treatment
Select your LEAST preferred treatment. This is the treatment you would rank at the bottom of your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescription washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy
Select your 2nd LEAST preferred treatment. This is the treatment you would rank 2nd from the bottom of your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/Facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescriptions washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy None
Select your 3rd least preferred treatment. This is the treatment you would rank 3rd from the bottom of your list of preferred treatments.
* must provide value
Over the counter acne cleansers/lotions Masks/Facials Herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc) Prescriptions washes/foams/creams/gels Oral antibiotics Oral contraceptives (females only) Isotretinoin Laser or light therapy None
What is the most important reason for not using over the counter acne cleansers/lotions?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using masks/facials?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using herbal agents (ie. tea tree oil, topical and oral ayurvedic, oral barberry extract, etc)?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using prescription washes/foams/creams/gels?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using oral antibiotics?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using oral contraceptives?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using isotretinoin?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
What is the most important reason for not using laser or light therapy?
* must provide value
Not Effective
Not Safe
Costly
Hard to use
Painful
High recurrence (acne will come back)
Long length of treatment
Which of the following do you think affects acne? (check all that apply)
* must provide value
What do you think triggers or makes acne worse? (check all that apply)
* must provide value
Which of the following do you think are causes of acne? (check all that apply)
* must provide value
Do you think acne can be cured (ie. permanently cleared)?
* must provide value
Yes
No
How long do you expect it to be before you see results from your acne treatment?
* must provide value
Less than 4 weeks
4 to 8 weeks
Less than 6 months
6 to 12 months
Over a year
How long do you expect your acne treatment to last?
* must provide value
Less than 4 weeks
4 to 8 weeks
Less than 6 months
6 to 12 months
Over a year
Where does your understanding of what causes acne and how to treat it come from? (check all that apply)
* must provide value
How much would you be willing to pay for a month's worth of a cream that could provide a 50% improvement in your acne?
* must provide value
$0
$10
$25
$50
$100
$150
$200
$250
$300 or more
How about if it could provide 25% improvement?
* must provide value
$0
$10
$25
$50
$100
$150
$200
$250
$300 or more
How much would you be willing to pay for a month's worth of an oral pill that could provide a 50% improvement in your acne?
* must provide value
$0
$10
$25
$50
$100
$150
$200
$250
$300 or more
How about if it could provide a 25% improvement?
* must provide value
$0
$10
$25
$50
$100
$150
$200
$250
$300 or more
Imagine there is a therapy which could completely cure you from your acne for the rest of your life. At present, what percentage of your monthly income (e.g. 5%) would you be willing to pay to receive this therapy?
* must provide value
Imagine there is a therapy which could completely cure you from your acne for the rest of your life. At present, how many hours per day (e.g. 1 hour per day) would you be willing to offer to receive this therapy?
* must provide value