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Efficacy for Other

How much of an effect does this treatment have on: Other?

Major 50% 2
None 25% 1
Can't tell 25% 1

Adherence

In general, do you take this treatment as prescribed?

Always 50% 5
Usually 50% 5
Sometimes 0% 0
Never 0% 0

Burden

How much of a burden is it for you to be on this treatment?

Major 10% 1
Moderate 20% 2
Slight 20% 2
None 50% 5

Side-effects

Overall, how much of a problem are the side-effects from this treatment?

Severe 0% 0
Moderate 10% 1
Mild 20% 2
None 70% 7

Specific Side Effects

Anxiety and Frustration 20% 2
Depression 20% 2
Feeling guilty 20% 2
bringing up past pain 20% 2
  • Severe
  • Moderate
  • Mild

Cost

Approximately how much do you pay out of pocket for this treatment?

$200+ 20% 2
$100-199 0% 0
$50-99 20% 2
$25-49 0% 0
less than $25 30% 3
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