Please indicate for each condition if you are treated for it or not.
Below you see a list of chronic conditions and diseases. Please indicate for each condition or disease whether you have it now or have had it in the past 12 months. Please answer this for each condition or disease.
Did you receive care after the treatment of your illness from below stated practitioners?
How true or false is each of the following statements about medication for you?
We are interested in your opinion about your disease. Please circle the number from 0 - 10 that best describes your experiences.
During your current disease or treatment, how much information have you received: