Event Info | Triforium Tribune

First name

Last name

Email

Location (city, state, and country)

How would you describe your current reactivity to poison oak?

0 - Not reactive

1 - Mildy reactive

2 - Moderately reactive

3 - Very reactive

4 - Extremely reactive

Do you currently have a poison oak rash?

No

Yes

During the past year, how many days did you have a poison oak rash? (0 to 365)

Anything else we should know?