Intake form

Name *

Email address *

What type of hyperhidrosis do you experience?

Please select at least one option.

Primary focal hyperhidrosis

Secondary generalized hyperhidrosis

What are your primary concerns regarding hyperhidrosis?

Please select at least one option.

Social situations

Workplace challenges

Physical discomfort

Emotional impact

Finding treatment options

Which treatment options have you tried?

Please select at least one option.

Antiperspirants

Medications

Botox injections

Iontophoresis

Microwave therapy

Surgery

Natural remedies

None

How often do you experience symptoms?

What areas of your body are affected?

Please select at least one option.

Hands

Feet

Armpits

Face

Back

Are you currently receiving treatment for hyperhidrosis?

If yes, please specify the treatment you are receiving.

How did you hear about beyond sweat foundation?

What support are you seeking from beyond sweat foundation?

Please select at least one option.

Educational resources

Support group connections

Treatment location finder

Personal experiences

Expert advice

Which service or services are you interested in?

Please select at least one option.

Educational resources

Community support

Expert guidance

Additional questions or comments

Beyond sweat foundation