Before You Begin The Quick Survey

This quick survey consists of 10 questions, all of which require an answer. This survey should take less than 3 minutes to complete.

Your time and consideration are appreciated in advance.

Privacy and Confidentiality Policy

Survey recipient authorizes Ferring Pharmaceuticals/Rebiotix, Inc. access to recipient’s personal information and agrees to allow Ferring Pharmaceuticals/Rebiotix to use the personal information for purposes of Donor Program qualification criteria determinations. Further, recipient agrees that any personal information may be transferred to various countries, including the United States and other locations that Ferring Pharmaceuticals/Rebiotix or SurveyMonkey has offices.

You may also wish to review SurveyMonkey's Privacy Policy.