Sign Up for Updates

Stay informed by signing up to receive updates from DealingWithDD.com. You’ll be notified periodically as the site is updated with new videos for the Dupuytren’s Disease Education Series and new information about Dupuytren’s disease and its treatment. (*Required Fields)



Mailing Address

If you see this, leave this form field blank.

Please answer the following questions to help us continue to meet your needs.

1)  How would you rate your overall health?*





2)  Thinking about your overall health, what is your outlook toward the future?*





3)  How long ago did your Dupuytren’s disease symptoms first appear?*
   
4)  How much do you agree that stress or worry caused your Dupuytren’s disease?*





5)  How much does Dupuytren’s disease affect you emotionally? For example, how much does it make you embarrassed, angry,
      scared, upset or depressed?*
Not at all
affected
emotionally
                              
Extremely
affected
emotionally
6)  How much does Dupuytren’s disease impact your daily life?*
No impact
at all
                              
Severely
impacts
my life
7)  As a result of your Dupuytren’s disease, how much difficulty do you have performing daily activities such as buttoning clothes,
      cooking, writing or shaking hands?*
Not at all
difficult
            
Very
difficult

The privacy and security of your personal information is important to Auxilium. The personal information you supply to us will be shared with and among our business partners, affiliates and agents to conduct market research and to provide you with information, products, programs and services. Your information may be combined with information from other areas of programs in which you participate. Your information will not be used by any of our business partners, affiliates and/or agents for their own separate purposes. For further information about Auxilium privacy practices, please review the DealingWithDD.com Privacy Policy.