We are a branch of a larger market research company, whose goal is to make contact with as many people diagnosed or involved in the treatment of Rheumatoid Arthritis. We will be looking to reach out to those interested in the form of online surveys and telephone discussions to help understand the needs of Rheumatoid Arthritis patients and caregivers. When contacted and qualified we will pay respondents for their time (up to $100).

All information collected during the surveys or phone discussions will be completely confidential in that we will not show your name or any other identifying information to our clients.

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* 1. When Diagnosed?

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* 2. Please provide information regarding treatment previously taken and current treatment:

  Previous Currently
NSAIDs (Advil, Motrin, others) and naproxen (Aleve)
Steroids Corticosteroid medications, such as prednisone
hydroxychloroquine (Plaquenil)
sulfasalazine (Azulfidine)
minocycline (Dynacin, Minocin, others)
lummunosuppressants (Imuran Gengraf, etc)
etanercept (Enbrel)
infliximab (Remicade)
adalimumab (Humira)
golimumab (Simponi)
certolizumab (Cimzia)
anakinra (Kineret)
abatacept (Orencia)
rituximab (Rituxan)
tocilizumab (Actemra)

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* 3. Please provide contact information as noted, name and phone # are requested not required at this time:

Thank you very much for taking the time to fill out this short questionnaire. We are collecting basic information to match individuals with specific survey requirements in order to invite your participation.