CCGP Consumer Survey

What Types of Information Would You Like To See In The Consumer Center?

Name

Address

City

State

Zip

E-Mail Address:

Age Group:

I would like to see the following information on this web site: (check all that apply)

	Profiles of different prescription drugs
	Profiles of over-the-counter drugs
	Possible medication problems and what to look for
	How to take different drugs
	Side-effects of drugs
	Drug treatments for different diseases
	Questions to ask the pharmacist
	Generic vs. brand names
	Prescription insurance
	Links to other consumer medical web sites

Additional Comments: