Are you interested in sharing about what it's like living with severe asthma, chronic rhinosinusitis, and nasal polyps?

We'd like to learn from you and connect you with the opportunity to share with others.

This is an opportunity to share with people who research and develop treatments for your condition.

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* 1. We are looking for people for an opportunity to share their insights with a company interested in learning from you. It might involve an interview or being on a panel with other people. If selected, they will contract with you to compensate you. Is this something you might be interested in learning more about?

Yes

No

Maybe

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* 2. Are you (or the person you are completing this for) at least 12 years old AND a U.S. resident?

Yes

No

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* 3. Are you diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP) that is considered severe and not well-controlled?

Yes

No

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* 4. Are you diagnosed with asthma that is considered severe and uncontrolled?

Yes

No

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* 5. What is your name? (First name is fine)

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* 6. How can we reach you? Please list your email or phone number.

Email

Phone number (optional)