WartPEEL Patient SurveyWartPEEL Patient Survey

1. Sex

Sex Male

Female

2. What was your age when you used WartPEEL?

What was your age when you used WartPEEL? Under 10 years

11-19 years

20-29 years

30-39 years

40-49 years

50-69 years

70+ years

3. What type of wart did you treat with WartPEEL?

What type of wart did you treat with WartPEEL? Common Wart (Verruca vulgaris), a raised wart with roughened surface, most common on the hands.

Flat Wart (Verruca plana), a small, smooth flattened wart, flesh-colored, which occur in large numbers most common on the face, neck, hands, wrists, and knees.

Mosaic Wart, a group of tightly clustered plantar-type warts, commonly on the hands or soles of the feet.

Periungual Wart, a cauliflower-like cluster of warts that occurs around the nails.

Plantar Wart (verruca, Verruca plantaris), a hard sometimes painful lump, often with multiple black specks in the center, usually only found on pressure points on the sole of the feet.

4. Where was the wart located on your body?

Where was the wart located on your body? Face

Arms

Hands

Legs

Feet

5. Prior to using WartPEEL, did you try a previous treatment?

Prior to using WartPEEL, did you try a previous treatment? Yes

6. Prior to using WartPEEL, what other treatments or proceedures had you tried? (list all)

Prior to using WartPEEL, what other treatments or proceedures had you tried? (list all) Duct Tape (alone)

Salicylic Acid (Over the Counter)

Salicylic Acid (In office)

Other Over the Counter Medication

Aldara Rx

Imiquimod

Cantharidin

Bleomycin

Liquid Nitrogen (Cryosurgery)

Dessication/Curettage, medical scraping

Laser Treatment

Infrared coagulator

None

Other (please specify)

7. Prior to using WartPEEL, how much money do you estimate you spent treating your warts?

Prior to using WartPEEL, how much money do you estimate you spent treating your warts? Less than $100

$100 to $200

$200 to $400

$400 Plus

8. How many warts did you have before using WartPEEL?

How many warts did you have before using WartPEEL? 1

9. How many warts did you have after using WartPEEL?

How many warts did you have after using WartPEEL? 0

10. How long did you use WartPEEL?

How long did you use WartPEEL? Less than 1 Week

2 Weeks

3 Weeks

4 Weeks

5 Weeks

6 Weeks

7 Weeks

8 Weeks

9 Weeks

10 Weeks

11 Weeks

12+ Weeks

11. What is the current status of the wart you treated with WartPEEL?

What is the current status of the wart you treated with WartPEEL? Completely Gone

Almost Gone

No Change

Increased in Number/Size

Required further medical treatment

12. Overall satisfaction with WartPEEL?

Overall satisfaction with WartPEEL? Very Satisfied

Somewhat Satisfied

Neither

Somewhat Dissatisfied

Very Dissatisfied

13. Please tell us how about your WartPEEL experience?

Please tell us how about your WartPEEL experience?