Please check all that apply:
You often look red, as if you have a sunburn
You have red bumps (pimples) or blemishes on your cheeks, forehead, nose,
or chin
You can see small red blood vessels
You look 'flushed' after taking a hot bath/shower, exercising, eating spicy
foods, or drinking alcohol or hot beverages
Your eyes look irritated or bloodshot even when you're well rested
2. How old are you?
25 or under
26 - 45
46 - 64
65+
3. Are you fair-skinned and of Irish, Scottish, English, or Eastern
or Northern European descent?
Yes
No
4. Does anyone in your family have rosacea-like symptoms?
Yes
No
Don't know/Not sure
