ITSAN CoStEx and WaR Survey (v1)

ITSAN has developed a new index to estimate Cortico-Steroid Exposure (CoStEx). In addition, WaR is a new index to categorize the Withdrawal and Recovery experience. Your answers are confidential and will only be used to help raise awareness and find solutions for those suffering with TSA/W. After you answer each question, click "continue" at the bottom of the page.

Enter a unique name or nickname of the patient.

This is for reference only. Use whatever name you like (e.g. Kathy842).

This is a required question

What is your date of birth?

or child's date of birth if you are completing questionnaire for a child.This date will be used for important calculations. If you are concerned about security/privacy, you may submit an APPROXIMATE date of birth.

Have you ever used a topical steroid cream, ointment, oil, shampoo, etc... either prescription or non-prescription?

This is referring to anti-inflammatory corticosteroids applied to the skin, NOT testosterone or estrogen creams or patches.

Yes.
No.
I don't know.

This is a required question