Zostrix Survey

Thank you for providing us with your feedback about Zostrix.

1 Which of the following describes you?
I suffer from arthritis.
I am a doctor, pharmacist, or other health care professional who counsels individuals with arthritis.
I am a caregiver for a family member or friend who has arthritis.


2 To manage arthritis pain, do you mainly use/recommend:
Only oral medications (pills)
Only topical medications (creams/rubs)
Both pills and creams/rubs
Other methods of pain control (e.g., heat, cold, physical therapy, intra-articular injection)


3 If you currently use Zostrix, please tell us your main reason for doing so:
Have obtained effective pain relief from Zostrix
Recommended by family member, friend, or acquaintance
Recommended by doctor or pharmacist
Read information describing Zostrix’s proven clinical effectiveness
Other:


4 If you do not currently use Zostrix, please explain why:
Never heard of it
Considered it but decided not to because:
Tried it but was not satisfied because:
Satisfied with other therapy:
Other:


5 Please rate the products you’ve used before to treat arthritis:
Product
Never Used
Terrible
Not Good
Indifferent
Good
Excellent
BenGay
Icy Hot
Capzasin P/HP
Joint-Ritis
Super Blue Stuff
Stopain
SalonPas
Absorbine Jr.
Flexall
Aspercreme
Blue Relief
Other:


6 Please indicate the most important features (max. 3) of an arthritis pain reliever:
Effectively relieves pain
Recommended by doctor/pharmacist/health care professional
Does not interfere with my other medications
Convenient dosing (e.g., once-a-day use, only as needed):
Convenient form (e.g., pump, spray, stick, patch):
No unpleasant side effects such as:
Low cost
Trusted brand name
Available at nearby store/pharmacy
Reimbursement by third-party provider


7 Please share any comments or suggestions you have for the makers of Zostrix:


8 If you would like future information on Zostrix, including any promotions and savings offers, please give us your contact information below. Please note that we will not share this information with any third party.
Prefix First Name Last Name
Street Address
City State Zip Code
E-mail Address