Survey of the American Consumer - GfK MRI
Survey of the American Consumer - GfK MRI
Survey of the American Consumer - GfK MRI
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ailments/DOCTOR VISITS<br />
Page 16<br />
AILMENTS/<br />
REMEDIES<br />
You Personally:<br />
How treated in <strong>the</strong> last 12 months?<br />
Have/ Used a prescription Used a Used a<br />
Had in remedy non- home/<br />
last 12 prescription herbal<br />
months Branded Generic remedy remedy<br />
Have not<br />
treated<br />
107 1 2 3 4 5 6<br />
AILMENTS<br />
Acne ........................ 01<br />
ADD/ADHD. .................. 02<br />
Allergy/Hay Fever .............. 03<br />
Anxiety/Panic ................. 04<br />
Arthritis/Rheumatoid arthritis (RA) . 05<br />
Arthritis/Osteoarthritis. .......... 06<br />
Asthma ...................... 07<br />
Athlete’s Foot ................. 08<br />
Backache/Back Pain. ........... 09<br />
Bipolar Disorder ............... 10<br />
Cancer ...................... 11<br />
Chronic/Severe Pain. ........... 12<br />
Cold Sores ................... 13<br />
Constipation .................. 14<br />
Dandruff/Dry Scalp ............. 15<br />
Depression ................... 16<br />
Diabetes (Insulin Dependent). .... 17<br />
Diabetes (Non-Insulin Dependent) . 18<br />
Dry Eyes. .................... 19<br />
Eczema/Skin Itch/Rash ......... 20<br />
Epilepsy/Seizures. ............. 21<br />
Erectile Dysfunction (ED) ........ 22<br />
Fibromyalgia .................. 23<br />
Hair Loss .................... 24<br />
Hearing Loss ................. 25<br />
Heart Attack/Heart Disease ...... 26<br />
Heartburn/Acid Reflux .......... 27<br />
High Cholesterol. .............. 28<br />
Hypertension/High Blood<br />
Pressure ................... 29<br />
Insomnia. .................... 30<br />
Irritable Bowel Syndrome (IBS) ... 31<br />
Kidney Ailments ............... 32<br />
Macular Degeneration .......... 33<br />
Menopause/Hormone Replacement 34<br />
Migraine Headaches. ........... 35<br />
Multiple Sclerosis (MS). ......... 36<br />
Muscle Strain/Sprain ........... 37<br />
Nail Fungus .................. 38<br />
Obesity/Overweight ............ 39<br />
Osteoporosis ................. 40<br />
Overactive Bladder ............. 41<br />
Prostate ..................... 42<br />
Restless Legs Syndrome ........ 43<br />
Rosacea or Skin Disease ........ 44<br />
Sinus Congestion/Headache ..... 45<br />
Sleep Apnea. ................. 46<br />
Snoring ...................... 47<br />
Ulcer ........................ 48<br />
Urinary Tract Infection (UTI) ...... 49<br />
Wrinkles ..................... 50<br />
Yeast Infection ................ 51<br />
In <strong>the</strong> last 12 months, how did you obtain information about an ailment or prescription drug?<br />
15A-0<br />
Television Advertisement ........ 1 Patient support group ........... 7<br />
Magazine Advertisement ........ 2 Pharmacist ................... 8<br />
O<strong>the</strong>r Advertisement ........... 3 Pharmaceutical company ........ 9<br />
Doctor or Health care pr<strong>of</strong>essional . 4 Medical journals ............... 0<br />
Friends/Family ................ <br />
Online/Internet site ............. X<br />
5<br />
O<strong>the</strong>r. ....................... Y<br />
Pamphlets/Brochures. .......... 6<br />
DOCTOR<br />
VISITS<br />
094<br />
You Personally:<br />
Visited Times/<br />
in last 12 last 12<br />
months months<br />
TOTAL: ................ 00<br />
TYPES:<br />
Acupuncturist ........... 01<br />
Allergist ............... 02<br />
Cardiologist ............ 03<br />
Chiropractor ............ 04<br />
Dentist ................ 05<br />
Dermatologist. .......... 06<br />
Ear, Nose & Throat. ...... 07<br />
Eye Doctor . . . . . . . . . . . . . . 08<br />
Gastroenterologist ....... 09<br />
General/Family Practitioner . 10<br />
Internist ............... 11<br />
Nurse Practitioner. ....... 12<br />
OB/Gyn ............... 13<br />
Osteopath. ............. 14<br />
Pediatrician (with child) ... 15<br />
Physical Therapist ....... 16<br />
Plastic Surgeon ......... 17<br />
Podiatrist .............. 18<br />
Psychiatrist. ............ 19<br />
Urologist ............... 20<br />
999<br />
OTHER (Write In)<br />
CAREGIVER/<br />
CARETAKER<br />
Are you, personally, <strong>the</strong> primary caregiver for<br />
someone with a medical condition? Yes 1 15L-0<br />
If yes, what services/support do you provide?<br />
15N-0<br />
Assist with chores ........... 1<br />
Assist with personal care ...... 2<br />
Give medication ............. 3<br />
Make doctor’s appointments. ... 4<br />
Provide transportation ........ 5<br />
Research medical information .. 6<br />
O<strong>the</strong>r ..................... 7<br />
Age <strong>of</strong> patient(s): 15W-0<br />
Less than 18 years old ..... 1<br />
18-64 years old. .......... 2<br />
65 years or older ......... 3<br />
Patient’s relationship to you: 15Y-0<br />
Relative ................ 1<br />
Friend .................. 2<br />
O<strong>the</strong>r .................. 3<br />
HEALTHCARE<br />
ADVERTISING<br />
ACTIONS TAKEN<br />
14B-0<br />
Actions you took as a result <strong>of</strong> seeing or<br />
hearing healthcare advertising, in <strong>the</strong> last<br />
12 months:<br />
Bought a non-prescription product ..... 1<br />
Refilled a prescription. .............. 2<br />
Made an appointment to see a doctor . . 3<br />
Discussed an ad with your doctor ..... 4<br />
Discussed an ad with a friend or<br />
relative ......................... 5<br />
Asked your doctor to prescribe a<br />
specific drug ..................... 6<br />
Consulted a pharmacist ............. 7<br />
Visited a product or drug website ...... 8<br />
Visited ano<strong>the</strong>r website ............. 9<br />
Requested a free sample ............ 0<br />
Called a toll-free number for information . . X<br />
O<strong>the</strong>r ........................... Y