To make an initial assessment of your eligibility to participate in this research study, please complete this short questionnaire to receive immediate feedback.

If your answers indicate that you may be a good candidate for the study, you will be asked to provide your contact information so our clinical team can contact you with further details about the study and to discuss your eligibility in further detail. This global clinical study is being conducted across the United States, Canada, United Kingdom, European Union and Israel. Compensation and travel reimbursements may be made for eligible participants.

How did you hear about us?

Search Advertising (Google, Bing, etc.)

Social Media

Walgreens

Doctor

Family/Friend

Patient Advocacy Group

Other

This is a required question. Please answer and resubmit.

1. How old are you?

This is a required question. Please answer and resubmit.

2. Have you ever been diagnosed with?

Primary Sclerosing Cholangitis

Primary Biliary Cholangitis

Not Diagnosed

This is a required question. Please answer and resubmit.

3. Do you currently suffer from itch?

Yes

No

This is a required question. Please answer and resubmit.

4. If you qualify and choose to join the study, would you be willing to record your itch once every day? The assessment will take less than 2 minutes to complete. Is this something that you are willing to complete?

Yes

No

This is a required question. Please answer and resubmit.

5. How would you like to participate and complete the visits?

Participate virtually (complete all visits at home)

Travel to clinical site near my location

This is a required question. Please answer and resubmit.

6. Please enter your email address:

This is a required question. Please answer and resubmit.

7. Please enter your postal code so that we can find the nearest study center:

This is a required question. Please answer and resubmit.

Completing this questionnaire does NOT obligate you to participate in this study.