SURVEY ON CONTROLLED SUBSTANCES

One of the possible unexpected results of dealing with the opioid crisis has been difficulty in filling legitimate and reasonable controlled prescriptions. If you have been prescribed any controlled substances and are interested in taking a survey to help us improve our awareness and care please proceed.

Please provide the link to others to take the survey if you think they might be interested in improving awareness on the topic.

Please only take the survey once.

One problem with internet-based surveys is that the same person can take them multiple times skewing the results. To avoid this, consider leaving your phone number below to verify your input if needed.

In the last five years I have felt discriminated against or judged by a member of the medical community (pharmacy, hospital, provider) because I am being prescribed a controlled substance:

NeverOn at least 1 occassionSeveral timesThis has happened so frequently that I accept it as part of the new normal.

In the last five years I have had difficulty getting a controlled medication filled:

NeverOn at least 1 occassionSeveral timesThis has happened so frequently that I accept it as part of the new normal.

I feel the difficulties outlined above:

Do not really apply to me.Are getting better over the last year.Are about the same over the last year.Are getting worse over the last year.

I feel this issues described above:

Have had essentially NO IMPACT on my overall quality of life.Have had a MILD NEGATIVE impact on my overall quality of life.Have had a MODERATE NEGATIVE impact on my overall quality of life.Have had a SIGNIFICANT NEGATIVE impact on my overall quality of life.Have had a MILD POSITIVE impact on my overall quality of life.Have had a MODERATE POSITIVE impact on my overall quality of life.Have had a SIGNIFICANT POSITIVE impact on my overall quality of life.

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