Over the counter medicine

Hello and thank you for being a part of the Q-insights database!

We are currently recruiting for an online study on the topic of Over the counter medicine

The study will run January 11th to January 13th and you will be compensated $25 via check in the mail for a 20 minute for an online call and if selected you can earn up to $300 dls to participate in additional phases of the study

If you are interested in participating please fill out the survey below. If you pre-qualify we will call you to ask some additional qualifying questions.

Within the survey and subsequent call, if any, we may collect your name, email address, telephone number, and certain demographic information from you for use in connection with the research study. By clicking “OK” you agree that as to personal data you supply in response to this questionnaire, if any, we may (i) use it ourselves in connection with our recruitment activity, (ii) share it with third parties assisting us with this project, who may use it solely in connection with this project, or (iii) share it with the client commissioning the research study, who may use it in connection with the study. Please refer to our Privacy Policy (https://q-insights.com/privacy-policy/) and our Your Data, Your Rights Portal for more details.

Question Title

* 1. What is your gender?

Male

Female

Question Title

* 2. What is your age?

Question Title

* 3. Do you, yourself, currently have any of the following conditions, or not?

GI obstruction

Bariatric or any Gastrointestinal surgical procedure

Immune system problems or any Immunodeficiency diseases

Crohn’s disease

Ulcerative Colitis

Acid reflux

Celiac disease

Currently taking prescription medicine for digestive issues

Hiatus Hernia or esophageal hernia

Diabetes

Pregnancy; or trying to get pregnant

None of the above

Question Title

* 4. Which of the following best describes how involved you are with buying the health care products, including digestive wellness products you, yourself, use?

I usually buy the health care products I choose to use.

I usually decided which health care products I want to use and someone else in my household buys them for me.

I tend to use whatever health care products are bought for me

Question Title

* 5. Please describe what, if any digestive issues you, yourself have experienced in the past month?

Question Title

* 6. Which of the following symptoms have you, yourself, experienced in the past month?

Diarrhea / Loose stools

Constipation / Regularity issues

Heavy, bloated feeling

Upset stomach

Excess gas

Abdominal discomfort/pain

Nausea

Other

None of the above

Question Title

* 7. If mentioned you have experienced symptoms in previous question... How often have you experienced each of these symptoms in the past month?

	Everyday	Few times per week	Once a week	Few times a month	Only occasionally	N/A
Diarrhea / Loose stools	Diarrhea / Loose stools Everyday	Diarrhea / Loose stools Few times per week	Diarrhea / Loose stools Once a week	Diarrhea / Loose stools Few times a month	Diarrhea / Loose stools Only occasionally	Diarrhea / Loose stools N/A
Constipation / Regularity issues	Constipation / Regularity issues Everyday	Constipation / Regularity issues Few times per week	Constipation / Regularity issues Once a week	Constipation / Regularity issues Few times a month	Constipation / Regularity issues Only occasionally	Constipation / Regularity issues N/A
Heavy, bloated feeling	Heavy, bloated feeling Everyday	Heavy, bloated feeling Few times per week	Heavy, bloated feeling Once a week	Heavy, bloated feeling Few times a month	Heavy, bloated feeling Only occasionally	Heavy, bloated feeling N/A
Upset stomach	Upset stomach Everyday	Upset stomach Few times per week	Upset stomach Once a week	Upset stomach Few times a month	Upset stomach Only occasionally	Upset stomach N/A
Excess gas	Excess gas Everyday	Excess gas Few times per week	Excess gas Once a week	Excess gas Few times a month	Excess gas Only occasionally	Excess gas N/A
Abdominal discomfort/pain	Abdominal discomfort/pain Everyday	Abdominal discomfort/pain Few times per week	Abdominal discomfort/pain Once a week	Abdominal discomfort/pain Few times a month	Abdominal discomfort/pain Only occasionally	Abdominal discomfort/pain N/A
Nausea	Nausea Everyday	Nausea Few times per week	Nausea Once a week	Nausea Few times a month	Nausea Only occasionally	Nausea N/A

Question Title

* 8. Of the symptoms you have experienced in the past month, please indicate how bothersome each of the symptoms are using the scale below

	Extremely bothersome	Very bothersome	Moderately bothersome	Slightly bothersome	Not at all bothersome	N/A
Diarrhea / Loose stools	Diarrhea / Loose stools Extremely bothersome	Diarrhea / Loose stools Very bothersome	Diarrhea / Loose stools Moderately bothersome	Diarrhea / Loose stools Slightly bothersome	Diarrhea / Loose stools Not at all bothersome	Diarrhea / Loose stools N/A
Constipation / Regularity issues	Constipation / Regularity issues Extremely bothersome	Constipation / Regularity issues Very bothersome	Constipation / Regularity issues Moderately bothersome	Constipation / Regularity issues Slightly bothersome	Constipation / Regularity issues Not at all bothersome	Constipation / Regularity issues N/A
Heavy, bloated feeling	Heavy, bloated feeling Extremely bothersome	Heavy, bloated feeling Very bothersome	Heavy, bloated feeling Moderately bothersome	Heavy, bloated feeling Slightly bothersome	Heavy, bloated feeling Not at all bothersome	Heavy, bloated feeling N/A
Upset stomach	Upset stomach Extremely bothersome	Upset stomach Very bothersome	Upset stomach Moderately bothersome	Upset stomach Slightly bothersome	Upset stomach Not at all bothersome	Upset stomach N/A
Excess gas	Excess gas Extremely bothersome	Excess gas Very bothersome	Excess gas Moderately bothersome	Excess gas Slightly bothersome	Excess gas Not at all bothersome	Excess gas N/A
Abdominal discomfort/pain	Abdominal discomfort/pain Extremely bothersome	Abdominal discomfort/pain Very bothersome	Abdominal discomfort/pain Moderately bothersome	Abdominal discomfort/pain Slightly bothersome	Abdominal discomfort/pain Not at all bothersome	Abdominal discomfort/pain N/A
Nausea	Nausea Extremely bothersome	Nausea Very bothersome	Nausea Moderately bothersome	Nausea Slightly bothersome	Nausea Not at all bothersome	Nausea N/A

Question Title

* 9. Would you say that your digestive issues factor into your decisions as whether to attend and/or participate in certain activities?

Yes

Question Title

* 10. Please rate how much you agree or disagree with each statement – whether you definitely agree; somewhat agree; neither agree or disagree; somewhat disagree; or definitely disagree.

	Definitely agree	Somewhat agree	Neither agree or disagree	Somewhat disagree	Definitely agree
I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.”	I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.” Definitely agree	I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.” Somewhat agree	I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.” Neither agree or disagree	I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.” Somewhat disagree	I’m searching for a preventative solution for my digestive issues. I’m tired of reacting with treatments and want to get ahead of it.” Definitely agree
“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.”	“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.” Definitely agree	“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.” Somewhat agree	“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.” Neither agree or disagree	“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.” Somewhat disagree	“I have discovered the lifestyle changes needed to manage my digestive issues. I don’t have to rely on products to treat or prevent them.” Definitely agree
“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.”	“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.” Definitely agree	“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.” Somewhat agree	“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.” Neither agree or disagree	“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.” Somewhat disagree	“I have found the products that work for my digestive issues and keep them stocked so I don’t get stuck without my trustworthy line up.” Definitely agree
“I have a prescription for digestive issues and use it regularly to treat or prevent them.”	“I have a prescription for digestive issues and use it regularly to treat or prevent them.” Definitely agree	“I have a prescription for digestive issues and use it regularly to treat or prevent them.” Somewhat agree	“I have a prescription for digestive issues and use it regularly to treat or prevent them.” Neither agree or disagree	“I have a prescription for digestive issues and use it regularly to treat or prevent them.” Somewhat disagree	“I have a prescription for digestive issues and use it regularly to treat or prevent them.” Definitely agree

Question Title

* 11. What do you, yourself, currently use for Diarrhea & Constipation?

Anti-diarrheal products

Probiotic supplements

Peppermint

Over the counter stomach remedies

Laxative / Fiber supplement

Probiotic foods

Prebiotic supplements

Nothing

Other (please specify)

Question Title

* 12. What is your contact info?

Name

State/Province

Email Address

Phone Number