Doctor Discussion Guide

The challenges of living psoriasis involve much more than dry, itchy patches of skin

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Choosing the Right Psoriasis Treatment: A Doctor Discussion Guide

The challenges of living psoriasis involve much more than dry, itchy patches of skin. That’s why it’s important to have an open and honest conversation with your doctor about your specific diagnosis, concerns, and symptoms, so together, you can decide on the best treatment plan for you. To help guide your treatment discussion with your doctor, fill out this questionnaire and bring it with you to your next visit.

    What type of psoriasis do you have? (Question 1 of 5)

    Plaque psoriasisGuttate psoriasisPustular psoriasisInverse psoriasisErythrodermic psoriasisI don’t know / Have not been diagnosed
    Have you experienced any of the following symptoms? (Question 2 of 5)

    ItchingRednessSilvery, white skin(scale)Soreness / PainSkin bumpsNail changesSwellingStiff jointsMuscle weaknessFeverChillsDepressionAnxietyOther
    Where is the location of your psoriasis? (Question 3 of 5)

    Skin folds (e.g., under the arms or breasts)FaceScalpGenitalsNails, hands, and feetLegsArmsBack
    What treatment(s) are you currently using or have used in the past? (Question 4 of 5)

    A biologicCream or ointmentPhototherapyLaser therapyOral medications
    How satisfied are you with your current treatment plan? (Question 5 of 5)

    Not satisfiedSatisfiedVery satisfied