Exit this survey WartPEEL Patient Survey Question Title * 1. Sex Male Female Question Title * 2. 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 Question Title * 3. 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. Question Title * 4. Where was the wart located on your body? Face Arms Hands Legs Feet Question Title * 5. Prior to using WartPEEL, did you try a previous treatment? Yes No Question Title * 6. 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) Question Title * 7. 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 Question Title * 8. How many warts did you have before using WartPEEL? 1 2 3+ Question Title * 9. How many warts did you have after using WartPEEL? 0 1 2 3+ Question Title * 10. 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 Question Title * 11. 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 Question Title * 12. Overall satisfaction with WartPEEL? Very Satisfied Somewhat Satisfied Neither Somewhat Dissatisfied Very Dissatisfied Question Title * 13. Please tell us how about your WartPEEL experience? Done
