The National Center for Health Research is non-for-profit organization dedicated to improving the health and safety of adults and children by using research to develop more effective treatments and policies. We are conducting a survey of people who have been seriously harmed by medical products. We would like to know your experiences if you or someone close to you has been harmed. Our goal is to take unsafe products off the market and protect the rights and health of all patients.

1. Have you or a family member been seriously harmed by a medical product?

2. If you answered yes to #1, in what year was your most recent serious experience?

3. If you answered yes to #1, was the product a brand name drug or a generic?

4. What type of cancer or other disease or symptoms were you being treated for?

5. If a family member was harmed or died, what was their relationship to you?

6. Have you filed a law suit?

7. Please list the town or city and state where you live.

8. If you are willing to be interviewed briefly, so that we can help prevent other people from being harmed, please provide a way for us to easily contact you.

For more information about the National Center for Health Research, visit us at