|
name |
description |
questions |
actions |
|
Would you rather lose weight or save money?
|
Would you rather lose weight or save money? |
1 |
|
|
How easy or hard do you think it is for most people who are very overweight to lose weight?
|
How easy or hard do you think it is for most people who are very overweight to lose weight...very easy, easy, hard, very hard? |
1 |
|
|
Have you, personally, ever attempted to lose weight in your lifetime, or not?
|
Have you, personally, ever attempted to lose weight in your lifetime, or not? |
1 |
|
|
When you have a prescription filled, how often does the pharmacist tell you about side effects you may experience?
|
When you have a prescription filled, how often does the pharmacist tell you about side effects you may experience? |
1 |
|
|
When you are buying over the counter medication for the first time how often, if ever, do you look for warnings about possible side effects?
|
When you are buying over the counter medication for the first time how often, if ever, do you look for warnings about possible side effects? |
1 |
|
|
Did you and your doctor discuss the risks and side effects of the drug, or not?
|
Did you and your doctor discuss the risks and side effects of the drug, or not? |
1 |
|
|
What did you do to overcome a side effect?
|
Share advice |
1 |
|
|
Health Status and Diet
|
|
10 |
|
|
Vacations
|
Vacation Poll |
2 |
|
|
Major Health Issues
|
one or two diseases or health problems that you worry about the most
|
1 |
|
|
How much spent on Rx Monthly
|
How much do You spend on medications monthly? |
1 |
|
|
Side Effects Concerns
|
How concerned are You about Side Effects of Medications? |
1 |
|
|
Environment and Health Risks
|
|
1 |
|
|
Health Care Affordability
|
How concerned are you, if at all, about being unable to afford necessary health care when a family member gets sick? |
1 |
|
|
Your Future Health Problems
|
When you think about health problems that might affect you in the future, which one of the following do you worry about the most? |
1 |
|
|
Side Effect Symptoms
|
Side Effects Symptoms |
1 |
|
|
Have You experienced a side effect?
|
Your Side Effect Experience |
4 |
|
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