EASI Url FIrst Name Last Name Date of Birth (dd/mm/yyyy) Is this patient less than 7 years of age? * Yes No Head Percentage Affected * 0% 1-9% 10-29% 30-49% 50-69% 70-89% 90-100% Redness * None Mild Moderate Severe Thickness/Swelling * None Mild Moderate Severe Scratching * None Mild Moderate Severe Lichenification/Prurigo * None Mild Moderate Severe Upper Limbs Percentage Affected * 0% 1-9% 10-29% 30-49% 50-69% 70-89% 90-100% Redness * None Mild Moderate Severe Thickness/Swelling * None Mild Moderate Severe Scratching * None Mild Moderate Severe Lichenification/Prurigo * None Mild Moderate Severe Trunk Percentage Affected * 0% 1-9% 10-29% 30-49% 50-69% 70-89% 90-100% Redness * None Mild Moderate Severe Thickness/Swelling * None Mild Moderate Severe Scratching * None Mild Moderate Severe Lichenification/Prurigo * None Mild Moderate Severe Lower Limbs Percentage Affected * 0% 1-9% 10-29% 30-49% 50-69% 70-89% 90-100% Redness * None Mild Moderate Severe Thickness/Swelling * None Mild Severe Severe Scratching * None Mild Moderate Severe Lichenification/Prurigo * None Mild Moderate Severe Your EASI score is: From this baseline EASI90 is: From this baseline EASI75 is: