* 1. What medication do you normally take for the treatment of your ADHD? Please include dosage.

* 2. Are you experiencing difficulty in getting this medication?

* 3. Tell us what city and state you live in.

* 4. Has your medication been changed in response to the shortages?

* 5. What else would you like us to know?

Thank you! Your information will help CHADD to advocate more effectively. We will keep you informed of the results and our meetings with key policy makers addressing the drug shortages.