Allergy Shots
Exit this survey
1
. Have you ever been prescribed allergy injections?
Have you ever been prescribed allergy injections?
yes
no
2
. Did you start the prescribed injections?
Did you start the prescribed injections?
yes
no
3
. If no, what was the primary reason?
If no, what was the primary reason?
Not prescribed by a doctor.
Too expensive for shots.
Too expensive for allergist visits.
Shots are too painful.
Difficult to get appointments.
Difficult to make time to visit allergist.
4
. Did you complete 3-5 years of injections?
Did you complete 3-5 years of injections?
yes
no
5
. Are you aware that allergy drops are the most widely prescribed treatment option in Europe?
Are you aware that allergy drops are the most widely prescribed treatment option in Europe?
Yes
No
6
. Given the option by your Allergist would you prefer
Given the option by your Allergist would you prefer
Allergy injections weekly then monthly at your doctors office
Allergy drops taken daily at home
7
. What is your age?
What is your age?
1-10
11-20
21-30
31-40
41 - 50
51+
8
. In addition to the cost of injections ($150) per year, what would you estimate your time and travel costs for the visits required over a year?
In addition to the cost of injections ($150) per year, what would you estimate your time and travel costs for the visits required over a year?
$100+
$200+
$400+
$500+
9
. How much do you spend on all medications relating to your allergy per year?
How much do you spend on all medications relating to your allergy per year?
$100+
$500+
$1000+
Covered by Health Plan
10
. Have you discussed allergy drops with your doctor?
Have you discussed allergy drops with your doctor?
yes
no
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.