EC1035

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Hello,

You are invited to participate in my short online survey. This survey is being conducted in order to obtain data for an undergraduate term paper. It will take approximately 3 minutes to complete the questionnaire.

Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Doug at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

1. Allergy Medication/Antihistamine(Diphenhydramine/Loratadine):

Benadryl

Tylenol

CVS Brand

Nuprin

Claritin

Other Generic Brand

Brooks Brand

Advil

2. Pain Reliever/Fever Reducer (Ibuprofen/Acetaminophen):

Nuprin

Advil

Motrin

Other Generic Brand

CVS Brand

Excedrin

Brooks Brand

Tylenol

3. Cold Relief/Nasal Decongestant (Pseudophedrine):

Nuprin

Tylenol

Advil

CVS Brand

Motrin

Brooks Brand

Sudafed

Other Generic Brand

4. Cough Suppressant/Sore Throat (Dextromethorphan):

Other Generic Brand

Nuprin

Vicks

CVS Brand

Zicam

Robitussin

Brooks Brand

5. Antacid/Upset Stomach (Calcium Carbonate):

Other Generic Brand

Pepcid

Rolaids

Tums

CVS Brand

Brooks Brand

Maalox

Part II – Please rank the importance of the following factors in your most recent decision to purchase a particular brand of drug:

	Not Important	Very Important
1. Recommended by your doctor/pharmacist	Not Important	Very Important

2. Saw an advertisement for that brand	Not Important	Very Important

3. Was the first one you saw in the store	Not Important	Very Important

4. Recommended by a friend/relative	Not Important	Very Important

5. You have always used that brand in the past	Not Important	Very Important

6. Attributes/Ingredients are of a higher quality	Not Important	Very Important

7. The price	Not Important	Very Important

1. What is your gender?

Male

Female

2. What is your age?

3. Where are you from?

4. Which school are you currently attending?

Harvard Medical School

Harvard Law School

Harvard College

5. How often do you visit your doctor (visits per year)?

6. Do you take medication regularly?

Yes

7. Is either of your parents a doctor/nurse/pharmacist?

Yes

8. Please rate your health status:

Poor

Fair

Good

Excellent

	Not Familiar at All	Basic Understanding	Very Familiar
9. Rank your familiarity with FDA drug standards and how they affect the effectiveness of common, over-the-counter drugs such as the ones listed in Part I:	Not Familiar at All	Basic Understanding	Very Familiar

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EC1035

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