Community Stories

Tell us about your experiences with eczema for a chance to share your story or contribute to a future article, podcast, video or other NEA content.

First Name

Last Name

Email Address

Zip Code

Country

What's your primary relationship to eczema?

What type of eczema do you have?

Atopic dermatitisSeborrheic dermatitisDyshidrotic eczemaStasis dermatitisNummular eczemaContact dermatitisNeurodermatitisNot sure

What is your eczema severity?

Which (if any) of the following have been a significant part of your life with eczema?

Eczema since childhood	Biologic treatments
Eczema diagnosis as an adult	JAK inhibitor treatments
Asthma	Other eczema treatment(s)
Food allergy	Difficulty accessing eczema care
Hay fever or other environmental allergies	Dissatisfaction working with your doctor
Mental health struggles	Sleep difficulties
Impact on romantic or family relationships	Natural therapies for eczema
Impact on work or school	Clinical trial
Topical steroid withdrawal (TSW)	Other
Other conditions related to eczema

What is your occupation or career?

What other eczema treatments and/or conditions related to eczema impacted your life?

In one paragraph, please share an important part of your eczema story.

Limit: 500 Characters

Have you already told your eczema story?

YesNo

Where have you shared your eczema story?

Clinical trial Focus group, conference or other industry activation NEA Blog or other channelsYour own blog, podcast or other form of mediaAnother outlet (podcast, article or other form of media)Social Media

What are your social media handles?

What other outlet did you share your story in?

I acknowledge that the answers I provide to questions about my eczema and eczema journey will be shared with NEA and may inform content published on their blog, in their magazine or shared on NEA social media channels.

YesNo

Would you like to opt in to NEA email communications?

YesNo

This section is optional. If you're willing to share this information about yourself, it will help National Eczema Association better understand and serve our community.

What is your gender or identity?

What do you predominantly identify as?

Are you of Latino or Hispanic ethnicity?

What year were you diagnosed with eczema?

Birthdate

MM/DD/YYYY

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