Exit this survey Treatment Received During an Adrenal Crisis Question Title * 1. Who are you filling out this survey for (please base your answers on one person only, you may do the survey more than once to cover each person) Myself I am Adrenal Insufficient A family member Question Title * 2. How old is the subject of this survey? (the person you are answering the questions about) 0-5 6-12 13-17 18-25 26-40 40 and above Question Title * 3. How many times has an Adrenal Crisis requiring an injection of Solu-Cortef been required? Question Title * 4. How many times has this person been hospitalized for Adrenal Crisis? Question Title * 5. How many times has an Emergency Responder in the field given this person their Solu-Cortef Injection? Never Sometimes Most of the Time Every Time Question Title * 6. How many times have you had to either give yourself the injection or given it to this person during a Crisis? Never Sometimes Most of the Time Every Time Question Title * 7. Did the Emergency Responders in the field have knowledge of Adrenal Insufficiency and understand that immediate action was necessary? Never Less than half of the Time More than half of the Time Always Question Title * 8. Did Emergency Room Personal have knowledge of Adrenal Insufficiency and understand that immediate action was necessary? Never Less than half of the Time More than half of the Time Always Question Title * 9. If you replied Never or Less than half of the time to the two previous questions. How long did it take for Medical (not yourself) to give an injection of Solu-Cortef? An injection of Solu-Cortef was given within 30 minutes of the Adrenal Crisis An injection of Solu-Cortef was given after 30 minutes An injection of Solu-Cortef was not given until another doctor intervened An injection of Solu-Cortef for the Adrenal Crisis was never given Question Title * 10. When an injection of Solu-Cortef was NOT given within 30 minutes of the Adrenal Crisis (either by you or by an emergency responder or emergency room personal), how long did this person remain in the hospital? No visit to the hospital was needed Less than 2 hours Between 2 - 5 hours 6 - 12 hours 12 - 24 hours More than one day Question Title * 11. If your or your loved one has had a crisis were there any short/long term affects from the crisis? Yes, and the affects were long term (lasting one year or more) Yes, and the affects were permanent Yes, but the affects were resolved withing one year Yes, but the affects resolved in less than 6 months No Question Title * 12. If you or your loved one suffered any short or long term affects from crisis please indicate the type here. Death Brain Damage Coma Paralysis Long term disability Other (please specify) Question Title * 13. Has your family been impacted financially due to the affects of any crisis that caused these short/long term issues? yes no If yes, please elaborate Done