Answer the questions to the best of your ability!

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* 1. First Name

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* 2. Last Name

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* 3. Race

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* 4. Age 

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* 5. Gender

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* 6. Location

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* 7. Email 

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* 8. Phone Number

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* 9. Have you been diagnosed with hidradenitis suppurativa (HS)

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* 10. How long have you been living with HS?

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* 11. Are you currently receiving medical treatment for HS?

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* 12. Communication Preferences

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* 13. Please feel free to provide any additional information or comments that you think are relevant to your participation in this focus group.

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