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FREEDASE SURVEY



  1. On an average what percentage of your patients are prescribed combined oral contraceptive? *

  2. On an average what percentage of patients per week visit for the following conditions? *
    		3.
  3. In which all conditions do you prefer to prescribe Combined oral contraceptive pill (COCP)? conditions? *

  4. Majority of these patients belong to the following age group: *

  5. What are the common presenting symptoms in acne patients? *

  6. What percentage of the acne patients also seek contraception? *

  7. In what severity of acne patients, COCPs are preferred? *

  8. In what type or stage of endometriosis do you prefer to use combined oral contraceptives? *

  9. While prescribing combined oral contraceptives, what are benefits extended to your patients? *

  10. In Acne patients, other than contraception, what benefits are seen with COCPs? *

  11. Is COCP preferred as a first line treatment in Endometriosis patients? *
  12. In Endometriosis patients, other than contraception, what benefits are seen with OCPs? *

  13. While prescribing combined oral contraceptives, is Dienogest containing combination your preferred choice? *
  14. In what percentage of patients requiring COCP, do you consider using dienogest based COCP? *

  15. In what percentage of patients requiring COCP, do you consider using Freedase? *

  16. In which of the following condition do you commonly prescribe Freedase? *

  17. Reasons for choosing Freedase (Kindly tick all the potential reasons) *

  18. For how long do you prescribe dienogest based COCP in the below conditions? *
    		19.
  19. Do these patients also present with any concomitant conditions? If yes, please specify

  20. Do you add any medication/s with COCP in Acne patients? if yes, please specify

  21. Do you add any medication/s with COCP in Endometriosis patients? if yes, please specify