Cost of Prescription Drugs and Barriers to Treatment
Exit this survey 

Can You Afford Your Arthritis Medications?

 
Does the cost of medications for your arthritis make it difficult for you to afford treatment?

Whether you have rheumatoid arthritis, juvenile arthritis or another type of arthritis or related condition, we need your story!

Please complete this survey to share how the cost of arthritis medications has impacted your life. A member of the Arthritis Advocacy Team may contact you to learn more.

(For simplification, this survey will use the term "arthritis" to include all rheumatic diseases.)
*
1. What is your connection with arthritis?
*
2. What kind of arthritis do you or your loved one have?
*
3. What is the primary source of your prescription drug coverage?
*
4. How much do you pay out of pocket for your ARTHRITIS prescription medications per month?
*
5. How much do you pay out of pocket for ALL of your prescription medications per month?
*
6. Have you or your loved one experienced financial strain, skipped medication, modified dosage, or otherwise changed your treatment plan due to high prescription drug costs?
7. If you answered yes to the previous question, is this due to:
8. Please share your story of how the high cost of prescription medication has affected your life.
9. Thank you for sharing your unique story. If you are willing to be contacted by an Arthritis Foundation staff member about your story, please provide your contact information below.
It is important to show the real faces and stories of arthritis. Aggregate survey results and other information you share will be used in the Arthritis Foundation's advocacy efforts on behalf of people with arthritis.
Powered by SurveyMonkey
Check out our sample surveys and create your own now!