Sex: Female   Male   Race: White Black Asian American Indian Pacific Islander Other     Age:	How many years have you had acne?   Less than 1 year   1 to 5 years   over 10 years
What type of acne do you think you might have?   No Answer   whitehead   blackhead   pimple   pustule	Which part of your body does acne affect?   face   neck   chest   back   shoulders
Do you have any physical sensation of your Acne?   None   Pain   Itchy   Other	How Serious do you think your Acne is?   Mild   Moderate   Severe
What type of treatment have you used before?   Topical   Oral   Other	Have you tried any alternative treatment?   No Answer   Yes  if Yes, what kind?   No

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