Autoimmune Conditions Insights - Advocates Pre-screener to be considered Question Title * 1. Contact Information Name * Company * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Social Media (for verification purposes) Email Address * Phone Number * Question Title * 2. Do you work for a professional advocacy group that supports Pemphigus Vulgaris? Yes No Question Title * 3. What is the name of the professional advocacy group for which you work? Question Title * 4. Do you support patients diagnosed with Pemphigus Vulgaris? Yes No Question Title * 5. What percentage of your time is spent supporting patients diagnosed with Pemphigus Vulgaris? 0 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 6. For how long have you been working as an advocate for patients with Pemphigus Vulgaris? Less than 1 year More than 1 year Question Title * 7. If you have been working as an advocate for more than 1 year, please specify for how long: Question Title * 8. What types of programs are you personally involved with to help those diagnosed with Pemphigus vulgaris? Financial support programs Insurance questions Assistance with understanding medical options/treatments Other (please specify) None of the above Question Title * 9. How do patients initially contact you? International Pemphigus & Pemphigoid Foundation Website Facebook Health care professional referrals Word of mouth Google search Insurance referrals Support groups Other (please specify) None of the above Question Title * 10. How do patients communicate with you? Telephone In person meetings Zoom/Teams calls Support group meetings Facebook messenger Email Other (please specify) None of the above Question Title * 11. Can you please describe your involvement in working with pemphigus vulgaris patients? Question Title * 12. If you are selected for the interview, would you like to have it with your camera on or off? Turned on Turned off Done