Patient Assistance Survey - September 2017


Thank you for your interest in participating in the Patient Access Network (PAN) Foundation's ( 2017 Patient Assistance Survey. This survey will take approximately 5 minutes to complete.

The PAN Foundation is a national nonprofit organization that helps people living with life-threatening, chronic and rare diseases pay for the out-of-pocket costs of their prescription medications. 

PAN is interested in learning more about the financial assistance patients may need to cover the out-of-pocket costs of their medications. We want to learn about these needs and the challenges patients face when looking for financial assistance. With this information, PAN will educate others about the needs and challenges associated with seeking financial assistance for prescription medications. 

Your response to this survey will be anonymous. All responses will be combined and analyzed on an aggregate level, and not examined at an individual level. After the analysis of the survey results is complete, we will share the findings on PAN’s website. 

Thank you again for helping us learn more about the challenges you may face paying for your prescription medications.