Your website. Your thoughts.

Thank you for taking part in this survey. It's important to us that this website is informative and relevant. So we really appreciate your time answering 13 questions that will help us provide better information and assistance in the future.

The answers you provide are confidential and for internal use only.
1. How did you hear about this website?
2. Do you find the information on the website useful?
3. Please tell us why you find this website useful, or not useful. And if there is anything else you'd like us to include online.
4. Have you previously been on opiate replacement therapy?

If your answer was 'No', please skip to the next page.
5. Which therapy have you previously tried?
6. How many times have you tried opiate replacement therapy?
7. Did you and your healthcare provider discuss all your treatment options?
8. Have you received any form of counselling with your opiate replacement therapy?
9. What do you hope to achieve by going onto opiate replacement therapy?
10. Sex
Female
11. Age
12. Do you attend a:
13. State
WA

Privacy: This information will be kept by Reckitt Benckiser on a secure database to enable us to monitor awareness of the website. If you need to, you may access this information we hold about you. This information will not be passed onto any other company or person without your consent.