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Survey Questionnaires

  1. What is the prevalence of allergic rhinitis in your practice? *
    2. %
    		To
    %
  2. The prevalence of allergic rhinitis in your practice is *

  3. The increasing prevalence can be attributed to *

  4. Which are the most common aero-allergens in your city? *

  5. In which period of the year are nasal symptoms more intense? *

  6. The comorbidities more frequently reported in patients with allergic rhinitis are *

  7. Which other diagnostic tests do you prescribe in allergic rhinitis patients? *

  8. In patients for whom you have done skin prick test in last 5 years, can you specify the prevalence of different allergen? *
    9. Pollen
    Grass mix
    %
    Artemisia vulgaris, Parietaria officinalis and Ambrosia eliator:
    %
    Betula verucosa or Betulaceae mix and Platanus occidentalis
    %
    Cupressacee
    %
    Oleacee
    %
    Dust Mites
    Dermatophagoides pteronyssimus and Dermatophagoides farina
    %
    Animal Allergen
    cat (Felix domesticus)
    %
    dog (Canis familiaris)
    %
    Fungal allergen
    Alternaria alternata
    %
    Cladosporium album
    %
    Insect allergen
    Cockroach
    %
    %
  9. What is the % of allergic rhinitis patients have concomitant Asthma in your practice *
    10. %
  10. Demographics and clinical characteristics of patients having Allergic Rhinitis and concomitant Asthma *
    11. Gender
    Female
    %
    Male
    %
    Personal History of atopy
    Atopic Dermatitis
    %
    Food Allergy
    %
    Allergic conjunctivitis
    %
    Family History of Atopy
    Allergic Rhinitis
    %
    Asthma
    %
    Atopic Dermatitis
    %
    Smoking Status
    Non Smoker
    %
    Ex Smoker
    %
    Current Smoker
    %
    Severity of Asthma (as per physician’s judgment %)
    Mild Asthma
    %
    Moderate Asthma
    %
    Severe Asthma
    %
    Severity of Asthma (as per physician’s judgment %)
    Mild Allergic Rhinitis
    %
    Moderate Allergic Rhinitis
    %
    Severe Allergic Rhinitis
    %
  11. Which types of drugs do you prescribe in allergic rhinitis patients? *

  12. Which types of drugs do you prescribe in allergic patients with Asthma comorbidity?*
  13. Do you prescribe allergen-specific immunotherapy? *

  14. What is the % Allergic Rhinitis patients you have recommended allergen-specific immunotherapy? *
    15. %
  15. How long patients are taking allergen specific immunotherapy? *
    16. Days
  16. Do patients with coexistent asthma-AR visits Emergency rooms for Asthma related exacerbation more frequently compared to the patients who have only Asthma? *

  17. What is the % of coexistent asthma-AR patients required concomitant treatment of INCS and ICS? *
    18. %
  18. What is the % of coexistent asthma-AR patients you prefer Montelukast + Antihistamine combination *
    19. Montelukast + Levocetirizine combination
    Other Montelukast + Antihistamine Combination
  19. Probable reason for choosing Montelukast + Levocetirizine combination as your preferred combination based on below mentioned parameters in coexistent asthma-AR patients? *

  20. What is the duration of treatment with Montelukast + levocetirizine combination in below category of patients? *
    21. Allergic Rhinitis
    Days
    Asthma
    Days
    Allergic Rhinitis with Asthma
    Days