HAE Treatment Assessment
Welcome to the

HAE Treatment Assessment

The symptoms of HAE (Hereditary Angioedema) are often similar to those of other medical conditions, which can delay undiagnosed patients from receiving proper treatment. It is even more important that HAE patients understand the treatment options available to them so that they are receiving the best care and management of their HAE. This brief questionnaire will help you and your physician determine a treatment regimen that is right for you.

Simple Questionnaire
to Build Your HAE Profile Complete the series of questions about the your symptoms and current treatment background.
Free Treatment
Option Assessment Upon completion, your personal assessment will be provided with accompanying suggestions for consideration.
Doctor Discussion
Guide & Report Print and review your personal assessment with your doctor.
Get Started
Click the Get Started button to begin your assessment interview.

Does HAE run in your family?
18 more panels to go
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Follow-Up Question

Please indicate the lineage of HAE in your family.

Check all that apply.
Immediate Family
Mother's Side
Father's Side
17 more panels to go
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Follow-Up Question

How many people in your family are affected?

16 more panels to go
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Have you been formally diagnosed with HAE?
15 more panels to go
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Follow-Up Question

Age at first symptoms / attack?

14 more panels to go
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Follow-Up Question

Age you were formally diagnosed?

13 more panels to go
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Follow-Up Question

What type of healthcare professional diagnosed you?
12 more panels to go
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Have you exhibited any of the following symptoms?
5 more panels to go
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Follow-Up Question

Age at first sign of symptoms?

4 more panels to go
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Follow-Up Question

How many times a year do you experience these symptoms?

3 more panels to go
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Follow-Up Question

How are you managing your symptoms?
2 more panels to go
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Follow-Up Question

What type of healthcare professional if helping you manage your symptoms?
1 more panels to go
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Do you know which type of HAE you have?
11 more panels to go
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How many attacks do you experience a year?
How many of those do you treat?

Attacks
Treating
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Follow-Up Question

Check the applicable attack sites:
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Are you currently on a prophylaxis or acute treatment?
8 more panels to go
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Do you have an emergency attack plan?
7 more panels to go
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Do you have a rescue medication?

All patients should have an on-demand treatment plan, even if they are on prophylactic therapy. Current prophylactic therapies are not 100% effective and breakthrough attacks may occur.

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How long does it take to feel relief after treating an attack?
5 more panels to go
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What are your primary challenges with your current treatment plan?
4 more panels to go
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Are you enrolled in a co-pay program to reduce the cost of your treatment?
3 more panels to go
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Regardless of who "initially" diagnosed you, with whom do you "currently" discuss therapy questions or issues?
2 more panels to go
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Do you feel like you have a say in your treatment - able to ask questions or make suggestions to your treatment provider?
1 more panel to go
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If you or someone in your family has hereditary angiodema(HAE), AllAboutHAE.com can help with tips on recognizing, treating, and managing this rare disease. The site also offers personalized, interactive tools.