1.Which actions should pharmaceutical companies take to earn your trust? (check all that apply)

Help our communities more

Treat me as a whole person  

Help me talk to my doctor

Teach my doctor how to explain to me

Use simpler language  

Hire more Black employees pharma/ leadership

Communicate with me in Black owned media

Have more visibility in the Black community

All of the above

None of the above

2.How can pharma companies be more helpful to you? (check all that apply)

Make health easier to understand

Offer a health check list to bring to my doctor appointment

Offer a health tracker so I can write down how I feel

More personal emails from my doctor

A telephone call

Less money for treatment

Other

3.3. How can pharma companies help improve your relationship with your doctor? (check all that apply)

Doctors should go through racial/empathy training 

Help us learn how to communicate how we feel to doctors

Give us a person to help us (like a patient navigator in the cancer community)

Support the community health worker

Help us get more prepared before the doctor appointment

Give us a second opinion

Give us a Black doctor

Make it easier to understand

Make it easier for me to communicate complaints

 Other

4.4. What does trust in health mean to you?

Honesty and transparency with medical findings, reasons for research, etc

Believe me the first time I explain how I feel and my symptoms

See me and treat me as a whole person vs, just my symptoms

Listen to me, and my need

Come in to our community for action

Commit to our community’s health for the long term – do not go in and out

Ask us more questions, we will share with you

Get to know me better 

Other

5.5. Who do you talk to about your health? (check all that apply)

Community health worker

Pharmacist

Doctor

Nurse

Pastor

Hair dresser

Family or friend

I don’t talk about my health with anyone

Other (please specify)

6.6. Which stressful situations have you faced that made caring for your health difficult? (check all that apply)

Not enough fruit and vegetables for my family

Electric, gas, oil, or water threatened to shut off your services in your home

Worried you may not have stable housing

Problems getting childcare so you can go to work or study (leave blank if you do not have children)

Needed to see a doctor, but could not because of cost

No transportation to get to the doctor

Need help reading hospital materials

Lack of companionship, feeling isolated and didn’t want to go alone

7.7. If you didn’t take your medicine, can you help us understand why? (Check all that apply)

I didn’t have the right information or knowledge to understand how to take my medication 

I thought that I could adjust my medication to fit my understanding and needs

I gave up and thought my condition is something that can’t be controlled

I got busy and forgot to take my medication

I experienced side effects and decided to take a break

I gave up because it was difficult communicating between my provider and pharmacist

I became overwhelmed with taking many medications 

I didn’t trust my provider

I couldn’t take it because it doesn’t make me feel good

A situation holds me back, such as “It makes me go to the bathroom, and I drive a bus all day”

Other

8.8. Do you have access to what you need to live your healthiest life? If not, what do you need help with?

Cost-savings on prescriptions

Transportation support to healthcare providers and to pick up medicine

Free delivery for medicines

More information on new, innovative treatments

Clinical trials information  

A person to help us (called a patient navigator or advocate)

Other

9.9. What motivates you to make healthy choices in your life?

To feel better

To stay healthy for my family

To get strong

To avoid missing work

To keep up with my kids

Other

10.How confident are you that you know enough about your older family members’ health history to help protect your own health and the health of future generations?

Very confident

Somewhat confident

Not so confident

Not confident at all

11.How reliable do you believe the health information passed down in your family is for understanding potential health risks?

Very reliable

Somewhat reliable

Not very reliable

Not reliable at all

12.How often do you share stories about your family’s health history, traits, or experiences with younger family members?

Very often

Sometimes

Rarely

Never