Questionnaire of the European Society for Photodynamic Therapy in Dermatology about photodynamic therapy and fluorescence diagnosis in dermatology:

Title:
First Name:
Last Name:
Clinic / department / specialist’s office:
Street:
City, zip code:
Country:
Phone:
E-Mail:
Since when do you perform PDT?
What are your main indications you treat? :	AK BCC Bowen's disease photochemorejuvenation by PDT other conditions
How many PDT treatments do you perform in an average month?
What light sources do you use?	Lamp Laser LED IPL/other flashlamps
What sensitizer do you use?	ALA (registered drug) ALA extratemporaneous formulation MAL (registered drug)
Do you perform Fluorescence Diagnosis?	yes no
	This information should be kept confidential. I agree to the publication of the above data on the EURO-PDT website.
Comments:

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	E-mail: claudia.zange (at) euro-pdt.org

	Last update: 2010-09-14