Do-it-Yourself Market Research™ Template

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Epocrates QuickSurvey™ Question and Logic Types

Question Types

Single Select

Use a single-select question when you want to force a respondent into one answer.

There can be few choices or many, as in the examples below.

Are you board-certified or board-eligible? [Single Select] a. Yes [Continue] b. No [End Survey]

How it will look after being programmed:

Which of the following best describes your practice setting? [Single Select] a. Private practice/small clinic b. Multi-specialty clinic/small hospital c. Large Hospital d. Other (Please specify)___________________________ [One Line Answer]

How it will look after being programmed:

Last Updated September 30, 2005 Page 1 of 7

Multi-Select

Use a multi-select question when you want to allow respondents multiple answers.

Which of the following brands have you prescribed in the past 60 days? Please select all that apply. [Multi Select] [Rotate Answers] a. Allegra [Skip to Question 6] b. Benadryl [Skip to Question 6] c. Claritin [Skip to Question 6] d. Tavist [Skip to Question 6] e. Zyrtec [Skip to Question 6]

How it will look after being programmed:

One Line Answer

Use a one-line answer when you want to receive an absolute answer, rather than a range or multiple-choice response.

What pharmacy chain or location do most of your patients go to?

___________________________________________________ [One Line Answer]

How it will look after being programmed:

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Multiple Line Answer

Use a multi-line answer question when you want to receive free-form input from your respondents.

What are the most common allergy symptoms of your patients?

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

[Multiple Line Answer]

How it will look after being programmed:

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Numeric-Rating, from # to #

Use a numeric-rating question when you want to have respondents rate a series of items on the same scale. The scale can consist of numbers or percentages.

Numeric ratings can be combined with multi-select questions, or used standalone, as in the two examples below.

How many years have you been practicing as an allergist? [Numeric Rating, from 0 to

50]

[IF <2 years or >30 years End Survey]

How it will look after being programmed:

For allergy medication prescriptions, what percentage of the time do you prescribe each of the following? [Numeric Rating, from 0 to 100] a. Antihistamines b. Decongestants c. Mast cell stabilizers d. Leukotriene antangonist e. Intranasal Steroids f. Systemic Steroids

[Sum to 100]

How it will look after being programmed:

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Single Select Grid

Use a single select grid when you want to have respondents pick just one choice on each row.

Please indicate your level of agreement with each of the following statements. [Single

Select Grid]

Strongly

Agree

Agree Neutral Disagree Strongly

Disagree

Prefer not to answer

My patients frequently request specific brands

Overall, my patients are well informed about choices of allergy medication

How it will look after being programmed:

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Numeric Rating Grid, from # to #

Use a numeric rating grid when you want to have respondents enter a response in each cell of your table. Usually you specify a range for the answers (i.e. from 1 to 5) and specify what each rating represents, as in the example below.

Please rate how frequently you prescribe the following medications to various types of patients (1=Never, 2=Occasionally, 3=Consistently, 4=Frequently, 5=Very Frequently)

[Numeric Rating Grid, from 1 to 5]

Allegra

Benadryl

Tavist

Zyrtec

Infants Children Adolescents Adults

How it will look after being programmed:

Seniors

Last Updated September 30, 2005 Page 6 of 7

Logic Types

Following are the logic types allowed in your QuickSurvey, followed by a brief explanation of each. Some of these logic types were used in the prior question examples.

[Continue] Continues to the next question

[End Survey] Ends the survey.

[If answer selected, End Survey] End the survey based on a specific answer to a question.

[If answers selected, Skip to Question number] Jumps to a question based on a set of answers. Only applies to [Choose All that Apply] multi-select questions.

This will 'skip' the intervening questions.

[Multiple Line Answer] Use a multi-line answer question within another question type, when you want to receive free-form input from your respondents.

[One Line Answer] Use a one-line answer within another question type, when you want to receive an absolute answer, rather than a range or multiple-choice response.

[Rotate Answers] Rotate answers if you want to eliminate order bias by having the multiple-choice order rotate. Each responder to your survey will see a different order of the possible answers.

[Skip to Question number] Jump to a specific question based on an answer

[Sum to number] If question is a numeric rating, one can specify that all answers add up to a specific sum -- e.g. [Sum to 100].

[Image: myimage.jpg] You may include up to 3 images in the survey. You can attach the images during your survey submission. Images files must be .jpg or

.gif format and no larger than 200K.

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