Hyperhidrosis Research Form - Please delete default entries first
Name
Age
Email
Hyperhidrosis Area
Scalp
Forehead
Cheeks
Nose
Underarms
Chest
Back
Groin
Palms
Other (please mention area below)
When Did You First Notice Your Condition
Since discovery is it:
Worse
Same
Better
Which area(s) affect you the most
Are there any specific triggers
Family History?
How Does This Affect You The Most?
Environmental Factors?
Other Treatments Tested
Have You Had Treatment With Us?
Yes
No
Disease Severity Score Before B.Toxin?
HDSS 1 Month After B.Toxin?
Any Complication Of Treatment?
Further Information