1. How did you learn about the Cipro® XR Web site? Magazine or newspaper advertisement Radio or TV advertisement Web site banner advertisement Friend or family member My doctor or physician Bayer Web site Bayer employee Search engine Other
2. Why did you visit the Cipro XR Web site? (Check all that apply) Learn about urinary tract infections (UTIs) Learn about Cipro XR Other
3. Did you find what you were looking for? Yes No
4. Before today, how many times have you visited the Cipro XR Web site? Never Once before Two to three times Four or more times
5. In the past, have you visited other prescription drug Web sites? Yes No
6. Overall, how has your experience at the CiproXR.com Web site today? Excellent Good Fair Poor
Please indicate your opinion of each statement below about the Cipro XR Web site:
11. What is your gender? Male Female
12. Do you currently have a urinary tract infection? Yes No I'm not sure
13. How many urinary tract infections (UTIs) have you had? 1 2 3 or more I've never had a urinary tract infection I'm not sure
13A. If you HAVE had a UTI before, did your physician consider it a complicated or simple UTI? Simple (uncomplicated) UTI Complicated UTI Both I'm not sure
14. Have you ever taken any of the following drugs? (Check all that apply.) Cipro Cipro XR 500 mg Cipro XR 1000 mg No
15. Are you currently take Cipro XR? Yes (Cipro XR 500 mg) Yes (Cipro XR 1000 mg) No
16. Have you already discussed Cipro XR with your doctor? Yes I plan to during my next visit No
16A. If you have a UTI now or in the future, would you ask your doctor to prescribe Cipro XR? Yes, I already have Yes, I would in the future No
16B. If you answered "Yes" to question 16A, which answer best describes the reason why? (Check all that apply.) I know Cipro works Cipro XR is convenient I expect Cipro XR to be effective medicine Other
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