Conditions, Treatments & Drug Brands

2024  |  2023

Which of the following conditions have you experienced in the last 12 months?
Acid Reflux/GERD

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Acne

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
ADD/ADHD

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Psychological Therapy/Counseling

Which of the following conditions have you ever experienced?
Age Related Memory Loss (moderate or severe)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Allergies

• Food Allergy (e.g., peanuts, shellfish)
• Grass Allergy
• Insect Allergy (e.g., bee stings)
• Pet Allergy (e.g., cat/dog dander)
• Ragweed Allergy
• Tree Pollen Allergy
• Other Allergy

Have you ever experienced anaphylaxis?

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Allergies
• Anaphylaxis

Treatments (Asked for: Allergies):
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Immunotherapy (tablets or shots)

Which of the following conditions have you ever experienced?
Alopecia Areata (an autoimmune disorder that causes sudden hair loss)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Which of the following conditions have you experienced in the last 12 months?
Anemia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Which of the following conditions have you ever experienced?
Anxiety Disorder (e.g., generalized anxiety disorder, social anxiety disorder, PTSD, OCD, phobias)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Medical Marijuana
• Psychological Therapy/Counseling

Which of the following conditions have you ever experienced?

• Ankylosing Spondylitis
• Osteoarthritis/Degenerative arthritis
• Psoriatic Arthritis
• Rheumatoid Arthritis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Ankylosing Spondylitis
• Osteoarthritis/Degenerative arthritis
• Psoriatic Arthritis
• Rheumatoid Arthritis

When diagnosed (Asked for: Rheumatoid Arthritis)

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Biologics – infusion/injection (Asked for: Ankylosing Spondylitis, Psoriatic Arthritis, Rheumatoid Arthritis)
• Traditional Immunosuppressants (Asked for: Ankylosing Spondylitis, Psoriatic Arthritis, Rheumatoid Arthritis)
• Injections (Asked for: Osteoarthritis/Degenerative arthritis)
• Medical Marijuana
• Physical Therapy
• Surgery (Asked for: Ankylosing Spondylitis, Osteoarthritis/Degenerative arthritis, Rheumatoid Arthritis)

Satisfaction with Rx treatment (Asked for: Osteoarthritis/Degenerative arthritis, Psoriatic Arthritis, Rheumatoid Arthritis)

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

• Osteoarthritis/Degenerative arthritis
• Rheumatoid Arthritis (RA)

Which of the following conditions have you ever experienced?
Asthma

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Inhaler
• Injections

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Bipolar Disorder

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Psychological Therapy/Counseling

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Cancer

• Breast
• Bladder/Urinary
• Colon/Colorectal
• Head and Neck (including mouth, nose and throat)
• Kidney/Renal
• Leukemia
• Liver
• Lung
• Multiple Myeloma
• Non-Hodgkin's Lymphoma
• Ovarian
• Pancreatic
• Prostate
• Skin - Melanoma
• Skin - Non-Melanoma
• Stomach
• Thyroid
• Uterine/Cervical
• Other cancer

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Stage of cancer at the time of diagnosis

• Stage 0
• Stage 1
• Stage 2
• Stage 3
• Stage 4
• Don't know

Has/did the cancer spread to other locations?

Current stage of cancer treatment

• Currently undergoing treatment for active cancer (e.g., chemotherapy, radiation)
• Cancer is in remission but taking prescription medication to prevent recurrence
• Cancer is in remission or cured and no longer treating

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Blood Product Donation/Transfusion
• Chemotherapy
• ImmunoOncology/Immunotherapy
• Targeted Therapy
• Medical Marijuana
• Psychological therapy/counseling
• Radiation
• Surgery

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

Which of the following conditions have you ever experienced?

• Acute Coronary Syndrome/Heart Attack
• Angina/angina pectoris
• Atrial Fibrillation (A-Fib) or Arrhythmia
• Coronary Heart/Artery Disease (sometimes called "hardening" or "clogging" of the arteries of the heart)
• Heart Failure

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Acute Coronary Syndrome/Heart Attack
• Angina/angina pectoris
• Atrial Fibrillation (A-Fib) or Arrhythmia
• Coronary Heart/Artery Disease (sometimes called "hardening" or "clogging" of the arteries of the heart)
• Heart Failure

When diagnosed (Asked for: Atrial Fibrillation (A-Fib) or Arrhythmia)

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Daily Aspirin Therapy
• Injections
• Physical Therapy
• Psychological Therapy/Counseling
• Surgery

[IF SURGERY]: What coronary surgeries or procedures have you had?

• Angioplasty or stent implant
• Bypass
• Heart valve replacement/repair
• Pacemaker implant
• Other

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

• Acute Coronary Syndrome/Heart Attack
• Heart Disease

Which of the following conditions have you experienced in the last 12 months?
Cold

Treatments (Cold/Flu/Cough):
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Constipation/Irregularity (More than one episode)

"Is your constipation chronic (i.e., fewer than three bowel movements a week, persisting for several weeks or longer)?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Have you ever experienced constipation as a result of taking prescription medication for pain?

Which of the following conditions have you ever experienced?
COPD (including Chronic Bronchitis and Emphysema)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Inhaler
• Oxygen Therapy
• Physical Therapy

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Cough

Treatments (Cold/Flu/Cough):
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Deep Vein Thrombosis (DVT) (A blood clot in a deep vein, usually in the legs) or Pulmonary Embolism

Have you ever experienced a pulmonary embolism (PE)?

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Daily Aspirin Therapy
• Injections

Feel at risk for?

Which of the following conditions have you ever experienced?
Depression

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your Depression?

• Mild – I feel sad but it doesn’t interrupt my daily activities of life
• Moderate – I feel sad and lonely, and have long periods of time where I cannot perform normal, everyday functions of life
• Severe – I have long periods of time where I simply lie in bed and don’t interact with people, and cannot perform normal daily activities

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Psychological Therapy/Counseling

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

Which of the following conditions have you ever experienced?

• Type 1 Diabetes
• Type 2 Diabetes

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Type 1 Diabetes
• Type 2 Diabetes

When diagnosed (Asked for: Type 2 Diabetes)

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Have you used a blood glucose meter in the last 30 days?

How many times per day, on average, do you use a blood glucose meter?

• Less than once a day
• 1-2 times per day
• 3-5 times per day
• 6 or more times per day

What features are important to you when choosing a glucose meter/monitoring system?

• Alternate site testing
• Automatic coding of test strips
• Bluetooth capability
• Communicates wirelessly with insulin pump
• Compact size/portability
• Connects directly to my smartphone
• Continuous 24/7 monitoring
• No finger pricks
• Provides insights such as patterns, averages, or estimated HbA1C levels
• Results are uploaded automatically to share with doctor/other
• Single device monitors blood glucose AND blood pressure or blood ketone levels
• Syncs with fitness, diet or medication trackers/apps
• Other features

Which of the following diabetes-related complications or conditions have you ever experienced?

• Cardiovascular/Heart conditions (e.g., Angina, heart disease)
• DKA and ketones
• Eye conditions (e.g., glaucoma, cataracts, diabetic retinopathy)
• Foot conditions (e.g., ulcers, poor circulation, amputation)
• Gastroparesis
• Hearing impairment
• Hypertension/High blood pressure
• Kidney disease
• Skin conditions (e.g., infections, itching)
• Stroke
• Other
• No diabetes-related complications/conditions

Have you had a hemoglobin A1c (HbA1c) test in the last 12 months?

What were your most recent hemoglobin A1c (HbA1c) test results?

• 4% - 5.6%
• 5.7% - 6.4%
• 6.5%+
• 7%+
• Don't recall

How easy or difficult is it for you to maintain the A1c level recommended by your health care provider?

• Very easy
• Somewhat easy
• Somewhat difficult
• Very difficult

Treatments (Asked for: Type 1, Type 2):
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments (Rx) - Condition Specific

• Insulin
• Non-insulin injectable
• Oral medication (i.e., pills or tablets)

[IF TREATING WITH INSULIN]: You mentioned using insulin to treat your Diabetes. How often do you take insulin?

• Less than once a day
• 1 time per day
• 2 times per day
• 3 times per day
• 4 or more times per day
• Continuous delivery (i.e., insulin pump)

Satisfaction with Rx treatment (Asked for: Type 1, Type 2):

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

• Type 1
• Type 2

Which of the following conditions have you ever experienced?
Diabetic Nerve Pain

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Eczema/Atopic Dermatitis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Which of the following conditions have you ever experienced?
Enlarged Prostate/Benign Prostate Hyperplasia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Surgery

Which of the following conditions have you experienced in the last 12 months?
Erectile Difficulty (More than one episode)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?

• Astigmatism
• Cataracts
• Dry Eye
• Glaucoma
• Macular Degeneration
• Myopia (“nearsighted”, the ability to see close objects more clearly than distant objects)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Astigmatism
• Cataracts
• Dry Eye
• Glaucoma
• Macular Degeneration
• Myopia (“nearsighted”, the ability to see close objects more clearly than distant objects)

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Medical Marijuana
• Prescription lenses (contacts or glasses)
• Surgery

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Fibromyalgia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Physical Therapy

Which of the following conditions have you experienced in the last 12 months?
Flu

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments (Cold/Flu/Cough):
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Gout

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you experienced in the last 12 months?
Heartburn/Indigestion

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Hepatitis B

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Hepatitis C

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Herpes

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Hidradenitis suppurativa (HS) (recurring skin boils or painful nodules usually in armpit, groin or under breasts)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Biologics – infusion/injection
• Traditional Immunosuppressants
• Oral Hormonal Therapy
• Retinoids (topical or oral)
• Topical medication
• Surgery

Which of the following conditions have you ever experienced?
High Cholesterol

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Daily Aspirin Therapy

Feel at risk for?

Which of the following conditions have you ever experienced?
HIV

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Has Disease Progressed to AIDS?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you experienced in the last 12 months?
Hyperhidrosis/Excessive Sweating

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Hypertension/High Blood Pressure

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Daily Aspirin Therapy

Which of the following conditions have you ever experienced?
Hypothyroidism/Low Thyroid Function

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Crohn's Disease

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Biologics – infusion/injection
• Traditional Immunosuppressants
• Medical Marijuana
• Surgery

Which of the following conditions have you ever experienced?
Ulcerative Colitis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Biologics – infusion/injection
• Traditional Immunosuppressants
• Surgery

Which of the following conditions have you experienced in the last 12 months?
Irritable Bowel Syndrome (IBS)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Kidney Disease

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Dialysis
• Transplants

Feel at risk for?

Which of the following conditions have you ever experienced?
Long Covid (new, returning, or ongoing health problems after a COVID-19 infection)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Which of the following conditions have you experienced in the last 12 months?
Low Testosterone

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Which of the following conditions have you ever experienced?
Lupus

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Infusion Therapy
• Injections

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Migraine Headache

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Are your Migraines Episodic or Chronic?

• Episodic (occur occasionally)
• Chronic (occur 15+ days a month, with a headache lasting at least 4 hours)

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Multiple Sclerosis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Infusion Therapy
• Injections
• Medical Marijuana
• Physical Therapy

Which of the following conditions have you experienced in the last 12 months?
Obesity

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Surgery

Which of the following conditions have you ever experienced?
Osteopenia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Osteoporosis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Infusion Therapy

Feel at risk for?

Which of the following conditions have you ever experienced?
Overactive Bladder

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Surgery

Which of the following conditions have you experienced in the last 12 months?
Pain

• Back Pain
• Head Pain (other than headache)
• Joint Pain
• Muscle Pain
• Neck Pain
• Nerve Pain
• Other Pain

Severity on a typical day in past 12 months:

• No Pain, 0
• Mild Pain, 1-3
• Moderate Pain, 4-6
• Severe Pain, 7-10

Has the pain interfered with your ability to fall asleep or stay asleep at night?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections
• Medical Marijuana
• Physical Therapy
• Spinal Cord Stimulation
• Surgery

Which of the following conditions have you ever experienced?
Parkinson's Disease

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Pneumonia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Feel at risk for?

Which of the following conditions have you ever experienced?
Psoriasis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

When diagnosed

• In the last 12 months
• 1 to less than 2 years ago
• 2 to less than 5 years ago
• 5 to less than 10 years ago
• 10 to less than 15 years ago
• 15 to less than 20 years ago
• 20 or more years ago

Severity:
According to the National Psoriasis Foundation, the palm of the hand equals 1 percent of the skin. Thinking about this, please estimate the percent of your body surface your Psoriasis currently affects.

• Mild – Less than 3% body coverage
• Moderate – 3% - 10% body coverage
• Severe – More than 10% body coverage

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Biologics – infusion/injection
• Traditional Immunosuppressants
• Phototherapy
• Retinoids (topical or oral)
• Topical medication

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Restless Leg Syndrome (RLS) (also called Willis Ekbom Disease)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Rosacea

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you ever experienced?
Schizophrenia

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Which of the following conditions have you ever experienced?
Seizures/Epilepsy

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Medical Marijuana

Which of the following conditions have you ever experienced?
Shingles

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Injections

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Sinus Headache/Sinus Congestion

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?

• Insomnia
• Sleep Apnea (frequently gasp or stop breathing while asleep)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

• Insomnia
• Sleep Apnea (frequently gasp or stop breathing while asleep)

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Psychological Therapy/Counseling

Satisfaction with Rx treatment:

• Very Satisfied
• Somewhat Satisfied
• Neither Satisfied nor Dissatisfied
• Somewhat Dissatisfied
• Very Dissatisfied

Which of the following conditions have you ever experienced?
Stroke

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Physical Therapy

Feel at risk for?

Which of the following conditions have you experienced in the last 12 months?
Urinary Tract Infection

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Feel at risk for?

Which of the following conditions have you ever experienced?
Vitiligo (patchy loss of skin color that is larger than the size of a dime on any part of the body)

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Birth Control Methods

Have you used any of the following methods of birth control in the last 12 months?

• Abstinence
• Barrier methods (e.g., condoms, diaphragm, cervical cap, sponge, spermicide)
• Emergency contraception (e.g., morning-after pill)
• Fertility awareness (e.g., calendar/ovulation tracking, temperature method)
• Short-acting hormonal methods (e.g., patch, ring, shot)
• Long-acting hormonal methods (e.g., implant, IUD)
• Oral contraceptives/birth control pills
• Permanent procedures (e.g., tubal ligation, partner vasectomy)
• Spermicide or vaginal gel
• Withdrawal method
• Other method
• Have not used birth control in last 12 months
• Decline

Important Factors

What is the most important factor when choosing a birth control option for yourself?

• Advice from friends or family
• Convenience (e.g., easy to use, need to plan ahead, prescription required)
• Cost
• Health benefits (e.g., reduced risk of STD's, lighter periods)
• How effective it is (risk of pregnancy)
• How long it lasts or how easily it can be reversed
• It's my partner's preferred method
• Prefer non-hormonal options
• Religious or cultural beliefs
• Side effects
• Other factor

Long-acting/Short-acting Hormonal Methods

Which of these methods of birth control have you used in the last 12 months?

• Implant
• IUD
• Patch
• Ring
• Shot

Which of the following conditions have you ever experienced?
Endometriosis

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of the following conditions have you experienced in the last 12 months?
Infertility

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Have you experienced any of the following symptoms of menopause in the last 12 months?

• Hot flashes
• Irregular periods or absence of menstruation
• Night sweats
• Painful intercourse/Dyspareunia
• Vaginal atrophy or dryness
• I have not experienced any symptoms related to menopause in the last 12 months

Severity [ASKED IF EXPERIENCED HOT FLASHES or NIGHT SWEATS ]:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your menopause symptoms?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Oral hormone therapy
• Oral non-hormonal treatment
• Injections
• Transdermal/skin patch, spray or gel
• Vaginal estrogen insert or cream

[ASKED IF EXPERIENCED PAINFUL INTERCOURSE/DYSPAREUNIA OR VAGINAL ATROPHY/DRYNESS]
Have you used an over-the-counter personal lubricant or vaginal moisturizer (e.g., Replens, KY) in the last 12 months?

• Yes
• No

Which of the following conditions have you experienced in the last 12 months?
Menstrual Cramps/PMS

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Severity:
How would you rate the severity of your (condition)?

• Mild
• Moderate
• Severe

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Treatments - Condition Specific

• Birth Control

Which of the following conditions have you ever experienced?
Uterine Fibroids

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Experienced in Last 12 Months?

Professionally Diagnosed:
You mentioned that you have experienced the conditions below. Which ones were diagnosed by a doctor or other healthcare professional?

Treatments:
How are you treating or did you treat your (condition)?

• Non-Prescription Drugs
• Prescription Drugs
• Diet or Exercise
• Herbal or Home Remedy
• Vitamins/Supplements
• Other Treatment
• Not Treating

Which of these conditions do you feel at risk for getting in the future?

• Acute Coronary Syndrome/Heart Attack
• Heart Disease
• Age Related Memory Loss (moderate or severe)
• Alzheimer's Disease
• Osteoarthritis/Degenerative arthritis
• Rheumatoid Arthritis (RA)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Cancer
• COPD (including Chronic Bronchitis and Emphysema)
• Depression
• Type 1 diabetes
• Type 2 diabetes
• High Cholesterol
• Kidney Disease
• Lupus
• Osteoporosis
• Pneumonia
• Psoriasis
• Shingles
• Stroke
• Urinary tract infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Bipolar Disorder
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Bipolar Disorder
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain<
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Bipolar Disorder
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain<
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Bipolar Disorder
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Bipolar Disorder
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain<
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

Asked on 'How Treating' list for these Conditions:

• Acid Reflux/GERD
• Acne
• ADD/ADHD
• Age Related Memory Loss
• Allergies/Allergic Reaction
• Anemia
• Anxiety Disorder
• Arthritis: Ankylosing Spondylitis
• Arthritis: Osteoarthritis/Degenerative arthritis
• Arthritis: Psoriatic Arthritis
• Arthritis: Rheumatoid Arthritis (RA)
• Asthma
• Cancer
• Cardiovascular/Heart Disease
• Cold/Cough/Flu
• Constipation/Irregularity
• COPD (Including Chronic Bronchitis and Emphysema)
• Deep Vein Thrombosis (DVT) or Pulmonary Embolism
• Depression
• Diabetes: Type 1
• Diabetes: Type 2
• Diabetic Nerve Pain<
• Eczema/Atopic Dermatitis
• Enlarged Prostate/Benign Prostate Hyperplasia
• Erectile Difficulty
• Eye Disease or Vision Issues
• Fibromyalgia
• Gout
• Heartburn/Indigestion
• Hepatitis B
• Hepatitis C
• Herpes
• Hidradenitis suppurativa (HS)
• High Cholesterol
• HIV
• Hyperhidrosis/Excessive Sweating
• Hypertension/High Blood Pressure
• Hypothyroidism/Low Thyroid Function
• IBD: Crohn's Disease
• IBD: Ulcerative Colitis
• Irritable Bowel Syndrome (IBS)
• Kidney Disease
• Low Testosterone
• Lupus
• Migraine Headache
• Multiple Sclerosis
• Obesity
• Osteopenia
• Osteoporosis
• Overactive Bladder
• Pain
• Parkinson's Disease
• Pneumonia
• Psoriasis
• Restless Leg Syndrome (RLS)
• Rosacea
• Schizophrenia
• Seizures/Epilepsy
• Shingles
• Sinus Congestion/Sinus Headache
• Sleep Disorders: Insomnia or Sleep Apnea
• Stroke
• Urinary Tract Infection
• Vitiligo
• Women's Health: Endometriosis
• Women's Health: Menopause Symptoms
• Women's Health: Menstrual Cramps/PMS
• Women's Health: Uterine Fibroids
• Yeast Infection

See Conditions section for specialty treatments. Each condition includes details about treatment types (if treatment is asked).

Would you consider using any of the following as a treatment option if legally available or recommended by your doctor?

• Medical marijuana
• Medical CBD (derived from marijuana)
• Would not consider using

A single prescription medication may not work as well as expected for treating a particular health condition. In certain cases, taking a second or “add-on” prescription medication can improve symptoms or accelerate the response to treatment. Would you consider taking a second or add-on medication?

• Definitely would not
• Probably would not
• Probably would
• Definitely would
• Currently taking an “add-on” Rx medication

OTC - First Aid Products & Topical Remedies

• A+D
• Bacitracin
• Bactine
• Cortizone-10
• Gold Bond Cream
• Hydrogen Peroxide
• Neosporin
• Polysporin
• Generic/Store brand
• Other non-prescription

OTC - Pain

• Advil
• Aleve
• Bayer Aspirin
• Bufferin
• Excedrin
• Extra Strength Bayer
• Motrin
• Tylenol
• Generic/Store brand
• Other non-prescription

OTC - Pain Relieving Rubs & Liquids

• Aspercreme
• Bengay
• Biofreeze
• Flector patch
• Flexall
• Icy Hot
• Sportscreme
• ThermaCare
• Generic/Store brand
• Other non-prescription

Which of the following reasons describe why you used a vitamin/mineral supplement in the last 12 months?

• Bone health
• Digestive health
• Exercise recovery/pre-workouts
• Heart health
• Immune health
• Increased energy
• Joint health
• Memory support
• Overall health/wellness benefits
• Prenatal health
• Skin/hair/nail health
• Sleep aid
• Stress relief
• Weight management
• Other reasons

TYPES of Vitamin/Mineral Supplements

• Calcium
• CBD products (over the counter, dispensary)
• Collagen
• Fiber
• Folic acid (vitamin B9)
• Herbals/Botanicals (e.g., turmeric, green tea)
• Iron
• Magnesium
• Melatonin
• Multi-vitamin
• Omega-3/Fish oil
• Potassium
• Probiotics
• Protein (e.g., powders, drinks, bars)
• Vitamin B-complex
• Vitamin C
• Vitamin D
• Vitamin E
• Zinc
• Other type of vitamin/mineral supplement

BRANDS of Vitamin/Mineral Supplements

• Alive!
• Centrum
• Emergen-C
• Nature Made
• Nature’s Bounty
• One-A-Day
• Vitafusion
• Generic/Store brand
• Other non-prescription

OTC

• Alka-Seltzer
• Gas-X
• Gaviscon
• Maalox
• Mylanta
• Nexium
• Pepcid
• Prevacid
• Prilosec OTC
• Rolaids
• Tums
• Zantac
• Generic/Store brand
• Other non-prescription

Rx

• Aciphex
• Dexilant
• Nexium
• Prilosec
• Protonix
• Tagamet
• Zantac
• Generic prescription
• Other prescription

OTC

• Acnefree
• Bioré
• Clean & Clear
• Clearasil
• Neutrogena
• Oxy
• Proactiv
• Generic/Store brand
• Other non-prescription

Rx

• Aczone
• Benzaclin
• Epiduo Gel
• Tazorac
• Tetracycline
• Generic prescription
• Other prescription

Rx

• Adderall
• Concerta
• Ritalin
• Strattera
• Vyvanse
• Generic prescription
• Other prescription

OTC

• Advil
• Alavert
• Alka-Seltzer
• Allegra
• Benadryl
• Claritin
• Flonase
• Nasacort Allergy 24HR
• Tylenol
• Zicam
• Zyrtec
• Generic/Store brand
• Other non-prescription

Rx

• Grastek
• Oralair
• Qnasl
• Singulair
• Xolair

Also asked if experienced Anaphylaxis:

• Adrenaclick
• EpiPen
• Symjepi


• Generic prescription
• Other prescription

Rx

• BuSpar
• Cymbalta
• Effexor
• Lexapro
• Paxil
• Prozac
• Xanax
• Zoloft
• Generic prescription
• Other prescription

OTC

• Tylenol
• Generic/Store brand
• Other non-prescription

Rx

• Celebrex
• Enbrel
• Humira
• Generic prescription
• Other prescription

OTC

• Aleve
• Tylenol
• Voltaren
• Generic/Store brand
• Other non-prescription

Rx

• Celebrex
• Euflexxa
• Mobic
• Synvisc/Synvisc-One
• Generic prescription
• Other prescription

OTC

• Aleve
• Tylenol
• Generic/Store brand
• Other non-prescription

Rx

• Cosentyx
• Enbrel
• Humira
• Otezla
• Remicade
• Rinvoq
• Skyrizi
• Stelara
• Taltz
• Tremfya
• Xeljanz
• Generic prescription
• Other prescription

OTC

• Aleve
• Tylenol
• Generic/Store brand
• Other non-prescription

Rx

• Celebrex
• Enbrel
• Humira
• Kevzara
• Methotrexate
• Mobic
• Planquenil
• Remicade
• Rinvoq
• Xeljanz
• Generic prescription
• Other prescription

Rx

• Advair
• Bevespi Aerosphere
• Breo Ellipta
• Cinqair
• Dulera
• Dupixent
• Fasenra
• Flovent
• Nucala
• ProAir
• Proventil
• Pulmicort
• Singulair
• Spiriva
• Symbicort
• Ventolin
• Generic prescription
• Other prescription

Rx

• Abilify
• Caplyta
• Latuda
• Risperdal
• Seroquel
• Vraylar
• Zyprexa
• Generic prescription
• Other prescription

Rx

• Ibrance
• Kisqali
• Piqray
• Verzenio
• Generic prescription
• Other prescription

Rx

• Cardizem
• Coreg
• Diovan
• Eliquis
• Entresto
• Lopressor
• Multaq
• Norvasc
• Plavix
• Pradaxa
• Ranexa
• Toprol-XL
• Warfarin/Coumadin
• Xarelto
• Generic prescription
• Other prescription

OTC

• Advil
• Afrin Spray
• Airborne
• Aleve
• Alka-Seltzer
• Benadryl
• Chloraseptic
• Coricidin
• Mucinex
• Robitussin
• Sudafed
• Theraflu
• Tylenol
• Vicks
• Zicam
• Generic/Store brand
• Other non-prescription

Rx

• FluMist Quadrivalent (vaccine)
• Tamiflu
• Generic prescription
• Other prescription

OTC

• Benefiber
• Citrucel
• Colace
• Dulcolax
• Ex-Lax
• FiberChoice
• Metamucil
• MiraLAX
• Phillips'
• Senokot
• Generic/Store brand
• Other non-prescription

Rx

• Advair
• Anoro Ellipta
• Breo Ellipta
• Breztri
• Combivent Respimat
• Flovent
• ProAir
• Proventil
• Singulair
• Spiriva
• Stiolto
• Symbicort
• Ventolin
• Generic prescription
• Other prescription

Rx

• Eliquis
• Heparin
• Lovenox
• Warfarin/Coumadin
• Xarelto
• Generic prescription
• Other prescription

Rx

• Abilify
• Celexa
• Cymbalta
• Effexor
• Fluoxetine
• Latuda
• Lexapro
• Paxil
• Prozac
• Rexulti
• Seroquel
• Spravato
• Wellbutrin
• Zoloft
• Generic prescription
• Other prescription

Rx

Insulin
• Humalog
• Lantus
• NovoLog
• Toujeo
• Generic prescription
• Other prescription

Rx

Insulin
• Humalog
• Lantus
• NovoLog
• Generic insulin
• Other brand name insulin

Oral and non-insulin injectable medications
• Actos
• Amaryl
• Bydureon
• Farxiga
• Glucophage
• Glucotrol
• Invokana
• Janumet
• Januvia
• Jardiance
• Metformin
• Mounjaro
• Ozempic
• Rybelsus
• Tradjenta
• Trulicity
• Victoza
• Generic prescription
• Other prescription

Rx

• Cymbalta
• Lyrica
• Generic prescription
• Other prescription

OTC

• Aveeno
• Cetaphil
• Cortizone-10
• Curel
• Dove
• Eucerin
• Gold Bond Cream
• Lubriderm
• Neosporin
• Neutrogena
• Vaseline Intensive Care
• Generic/Store brand
• Other non-prescription

Rx

• Adbry
• Cibinqo
• Desonate
• Dupixent
• Elidel
• Enbrel
• Opzelura
• Protopic
• Topicort
• Generic prescription
• Other prescription

Rx

• Avodart
• Cialis
• Flomax
• Proscar
• Generic prescription
• Other prescription

RX

• Cialis
• Levitra
• Viagra
• Xiaflex
• Generic prescription
• Other prescription

OTC

• Clear Eyes
• GenTeal
• Lumify
• Optive
• Refresh
• TheraTears
• Visine
• Generic/Store brand
• Other non-prescription

Rx

• Eylea
• Lucentis
• Restasis
• Vabysmo
• Xiidra
• Generic prescription
• Other prescription

Rx

• Cymbalta
• Lyrica
• Savella
• Generic prescription
• Other prescription

Rx

• Allopurinol
• Colcrys
• Uloric
• Generic prescription
• Other prescription

OTC

• Alka-Seltzer
• Gas-X
• Gaviscon
• Mylanta
• Nexium
• Pepcid
• Prevacid
• Prilosec OTC
• Rolaids
• Tums
• Zantac
• Generic/Store brand
• Other non-prescription

Rx

• Aciphex
• Dexilant
• Nexium
• Prilosec
• Protonix
• Zantac
• Generic prescription
• Other prescription

Rx

• Epclusa
• Harvoni
• Mavyret
• Sovaldi
• Generic prescription
• Other prescription

Rx

• Valtrex
• Zovirax
• Generic prescription
• Other prescription

Rx

STATINS
• Crestor
• Lipitor
• Pravachol
• Zocor
NON-STATINS
• Niaspan
• Lipofen
• Lovaza
• Tricor
• Vytorin
• Welchol
• Zetia


• Generic prescription
• Other prescription

Rx

• Altace
• Atacand
• Cardizem
• Cardura
• Coreg
• Diovan
• Lopressor
• Lotrel
• Norvasc
• Procardia
• Tenormin
• Toprol-XL
• Generic prescription
• Other prescription

Rx

• Cytomel
• Synthroid
• Generic prescription
• Other prescription

Rx

• Entyvio
• Humira
• Remicade
• Skyrizi
• Stelara
• Generic prescription
• Other prescription

Rx

• Entyvio
• Humira
• Remicade
• Rinvoq
• Stelara
• Zeposia
• Generic prescription
• Other prescription

Rx

• Amitiza
• Linzess
• Viberzi
• Xifaxan
• Generic prescription
• Other prescription

RX

• Testim
• Generic prescription
• Other prescription

OTC

• Advil
• Excedrin
• Motrin
• Generic/Store brand
• Other non-prescription

Rx

• Aimovig
• Ajovy
• Botox
• Emgality
• Imitrex
• Maxalt
• Nurtec
• Relpax
• Reyvow
• Topamax
• Ubrelvy
• Zomig
• Generic prescription
• Other prescription

Rx

• Ampyra
• Aubagio
• Avonex
• Copaxone
• Gilenya
• Kesimpta
• Ocrevus
• Ponvory
• Tecfidera
• Zeposia
• Generic prescription
• Other prescription

Rx

• Contrave
• Ozempic
• Saxenda
• Wegovy
• Generic prescription
• Other prescription

Rx

• Actonel
• Boniva
• Evista
• Fosamax
• Prolia
• Reclast
• Generic prescription
• Other prescription

Rx

• Botox
• Detrol LA
• Ditropan
• Myrbetriq
• Toviaz
• VESIcare
• Generic prescription
• Other prescription

Rx

• Naprosyn
• Percocet/OxyContin (oxycodone)
• Tylenol with Codeine
• Vicodin/Norco (hydrocodone)
• Generic prescription
• Other prescription

Rx

• Cimzia
• Cosentyx
• Enbrel
• Humira
• Methotrexate
• Otezla
• Remicade
• Sotyktu
• Skyrizi
• Stelara
• Talz
• Tremfya
• VTAMA
• Generic prescription
• Other prescription

Rx

• Mirapex
• Requip
• Generic prescription
• Other prescription

Rx

• Finacea
• MetroGel
• Generic prescription
• Other prescription

Rx

• Depakote
• Dilantin
• Keppra
• Lamictal
• Neurontin
• Topamax
• Generic prescription
• Other prescription

Rx

• Lyrica
• Neurontin
• Shingrix
• Valtrex
• Zostavax
• Zovirax
• Generic prescription
• Other prescription

OTC

• MidNite
• Nytol
• Simply Sleep
• Sominex
• Unisom
• ZzzQuil
• Generic/Store brand
• Other non-prescription

Rx

• Ambien
• Belsomra
• Lunesta
• Generic prescription
• Other prescription

OTC

• Electronic Cigarettes (e.g. bluCigs) or Vaporizers
• NicoDerm
• Nicorette
• Generic/Store brand
• Other non-prescription

Rx

• Chantix
• Nicotrol Inhaler
• Wellbutrin
• Generic prescription
• Other prescription

OTC

• Plan B One-Step
• Generic/Store brand
• Other non-prescription

Rx

IUD (intrauterine devices)

• Kyleena IUD
• Mirena IUD
• ParaGard IUD

Oral Contraceptives/Pills

• Lo Loestrin Fe
• Minastrin 24 Fe
• Ocella
• Ortho Tri-cyclen
• Seasonique
• Yasmin

Shots/Implants/Rings/Patches

• Annovera (ring)
• Depo-Provera (shot)
• Nexplanon (implant)
• NuvaRing (ring)

Other Rx

• Generic prescription
• Other prescription

OTC

• Midol
• Pamprin
• ThermaCare
• Generic/Store brand
• Other non-prescription

OTC

• Monistat
• Vagisil
• Generic/Store brand
• Other non-prescription