Childhood Asthma Patient Focused Drug Development (PFDD) Meeting Panelist Application

The Allergy & Asthma Network, the American Lung Association, the American Partnership for Eosinophilic Disorders, and the Asthma and Allergy Foundation of America are hosting a Patient-Focused Drug Development meeting on September 20, 2021 to gather and share patient insights to inform new treatment strategies and to improve health outcomes. Please complete this form if you’re interested in becoming a panelist. Panelists will prepare a 5-minute pre-recorded video that will be played during the meeting. Please complete questionnaire by Thursday, August 5, 2021. If you have any questions, please reach out to Elisa Zizza at ezizza@aafa.org

Name

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Address Information


Communication Information

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Demographics

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Level of Education*

Asthma onset


Type of Asthma

According to your/your child’s health care provider, how severe is your/your child’s asthma:*
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Asthma Treatment


Engagement