(1) Professor Yehuda Shoenfeld Survey 

Click here for the ASIA cover letter and questionnaire (survey).

Print it out, bring it to your doctor, and have him or her email or fax it to Prof. Shoenfeld to be part of his study, detailed below.

From Joanna Katzen:

For the past several months I’ve been working with Prof. Yehuda Shoenfeld, head of the Zabludowicz Center for Autoimmune Diseases at the Sackler Faculty of Medicine (University of Tel Aviv) and Chair for Research of Autoimmune Diseases based at the Sheba Medical Center in Tel-Aviv, Israel. Yehuda, his research staff and I have been working to create a formal questionnaire in English to support the research he’s doing on the Autoimmune/inflammatory Syndrome Induced by Adjuvants (ASIA), also known as Shoenfeld’s Syndrome. As some of you already know, Prof. Shoenfeld is the leading researcher on this subject.

Prof. Shoenfeld is an accepted, highly respected figure in the international medical community and is well known for his research in the field of autoimmune disease. The goal of this research is to show a definitive connection between certain foreign materials implanted or otherwise introduced into the body and autoimmune disease of ALL types. One of these materials is breast implants. To date, his research has included only small numbers of people. We now have the opportunity to change that.

I am asking each of you to please print out the ASIA Cover Letter and Questionnaire, take them both to one of your doctors, have him or her fill out the questionnaire and submit it to Prof. Shoenfeld according to the instructions in the cover letter (yes, it must be submitted by your doctor). Once submitted, your information will be converted to data and entered into the ASIA Registry.


Because the questionnaire is seven pages long, I will fill mine out and then bring it to my PCP. She’ll review it and make any additions or changes she feels are necessary, and then submit it.

Once Prof. Shoenfeld has a substantial number of women who have or have had breast implants and symptoms (diagnosed or not diagnosed) submit their information, the data will become statistics that cannot be denied by the medical community. This will be a MAJOR BREAKTHROUGH in getting doctors to make the connection between breast implants and illness, to listen to women who are suffering with BII and perhaps even in getting insurance companies to pay for explants. I have high hopes that Prof. Shoenfeld’s research will take the issue even further over time.

Please do not pass up the opportunity to contribute to Prof. Shoenfeld’s research. There is a very good possibility that our contribution will change the current situation substantially for the better. But this will only happen if a large number of women submit the questionnaire, thus connecting breast implants to the symptoms we have all suffered.

You can do this from any country in the world. You do not need to live in the US to become part of the ASIA Registry. However, if you are outside the US and your doctor is faxing the questionnaire, please be sure s/he uses the correct exit code when dialing (the first two numbers). The rest of the fax number is the same. You can check exit codes here:

If you would like more information on Prof. Shoenfeld and the work he’s doing, please Google “ASIA autoimmune disease” (if you Google ASIA, you’ll get information on the continent!), or click this link:

Please join me in this groundbreaking effort.

(2) PIP Implant Survey 

PIP Implant Health Survey 2017 – hosted by the PIP Action Campaign. This survey is ONLY for those who have or have had PIP breast implants.