Compliance with Tamiflu®
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We have been asked to research opinions towards people's perceptions regarding pediatric compliance with the avian flu drug, Tamiflu®. Please take this anonymous survey and share your views. Your response to this anonymous survey are completely confidential and will help ensure proper government action.
Thank you for your participation.
1
. I am worried about the avian flu virus.
I am worried about the avian flu virus.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
2
. Have you heard of Tamiflu?
Have you heard of Tamiflu?
Yes
No
3
. Do you have children under the age of 8?
Do you have children under the age of 8?
Yes
No
4
. It is a challenge to get my child to take his/her medicine.
It is a challenge to get my child to take his/her medicine.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
*
5
. Do you feel it is the governments responsibility to provide a pediatric version of Tamiflu in the event of a pandemic?
Do you feel it is the governments responsibility to provide a pediatric version of Tamiflu in the event of a pandemic?
Yes
No
*
6
. If the government were made aware of the bitter taste considerations of the pediatric version of Tamiflu and a solution to safely and effectively mask the taste via flavoring, do you think they should offer flavoring?
If the government were made aware of the bitter taste considerations of the pediatric version of Tamiflu and a solution to safely and effectively mask the taste via flavoring, do you think they should offer flavoring?
Yes
No
7
. Have you ever asked your pharmacist to flavor your child's medication to mask the bitter taste?
Have you ever asked your pharmacist to flavor your child's medication to mask the bitter taste?
Yes
No
To help us understand your answers better, we’d like to know a bit more about you. This survey is anonymous and your answers are completely confidential.
8
. What is your gender?
What is your gender?
Male
Female
9
. What is your age range?
What is your age range?
17 or under
18-25 years
26-41 years
42-59 years
60 or over
10
. How many people are in your household?
How many people are in your household?
1
2
3-4
5-6
7 or more
11
. In which region do you live?
In which region do you live?
Northeast (CT,MA,ME,NH,RI,VT)
Mid-Atlantic (NJ,NY,PA)
South Atlantic (DC,DE,FL,GA,MD,NC,SC,VA,WV)
South Central (AL,AR,KY,LA,MS,OK,TN,TX)
Midwest (IA,IL,IN,KA,MI,MN,MO,ND,NE,OH,SD,WI)
Mountain (AZ,CO,ID,MT,NM,NV,UT,WY)
Pacific (AK,CA,HI,OR,WA)
I do not live in the U.S.
12
. What is the highest degree or level of education that you have completed?
What is the highest degree or level of education that you have completed?
Less than high school
High school
Associate degree (for example: AA, AS)
Bachelor’s degree
Master’s degree
Doctorate or professional degree (MD, DDS, etc.)
13
. I live outside the United States. I live in the following country.
I live outside the United States. I live in the following country.
14
. For survey results, please confirm your email below.
Note: We respect your privacy as much as your opinion. This survey is anonymous and your email address will not be saved with your answers. Your email address will never be sold or shared with a third party.
For survey results, please confirm your email below. Note: We respect your privacy as much as your opinion. This survey is anonymous and your email address will not be saved with your answers. Your email address will never be sold or shared with a third party.
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