1. How many patients do you see on a weekly basis? 10 - 20 21 - 50 51 - 75 76 - 100
2. What percentage of your patients is female? Less than 10% 11% to 40% 41% to 75% 76% to 99% 100%
3. Do you have a Nurse Practitioner or Physician Assistant in your office? Yes No
3a. If yes, how do you utilize them? Very Actively Somewhat Actively Not Very Much
4. When a new pharmaceutical product becomes available, how do you like to learn about it? Postal mail Journal Pharmaceutical representative E-mail Other (Please specify):
5. What is your opinion of patient requests for a particular drug? Helpful Not helpful No opinion
6. Do you refer patients to pharmaceutical company Web sites for drug information? Yes No
7. On average, how often do you use the Internet for work purposes, excluding e-mail? Daily Several times a week Several times a month Less than once a month Never
8. What types of Web sites do you visit related to your prescribing decisions? (Check all that apply.) About a specific drug(s) Pharmaceutical companies Medical letters Medical journals Education General medical information Chat/discussion Other (Please specify):
9. Which of the following search engines do you find most useful for searching medically relevant information? (Check all that apply) GoogleTM Medscape® WebcrawlerTM Yahoo!® Other (Please specify):
10. What is your specialty area? General practice Family medicine Internal medicine Ob-Gyn Urology Other (Please specify):
11. How many years have you been in practice? 1 - 5 6 - 10 11 - 15 More than 15
12. Why did you visit the Cipro® XR Web site? (Please be as specific as possible) (Check all that apply) Learn about Cipro XR Find online source materials for my patients Find prescribing information about Cipro XR Find clinical trial results about Cipro XR A colleague suggested the site Other:
13. Before today, how many times have you visited the CiproXR.com Web site? Never Once before 2 to 3 times 4 or more times
14. Overall, how would you characterize your experience at the CiproXR.com Web site today? Excellent Good Fair Poor
19. How did you learn about the Cipro® XR Web site? Magazine or newspaper advertisement Radio or TV advertisement Triple I Prescription Pad Colleague Patient Bayer Web site Bayer employee Search engine Other:
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