Quick Links PEG-INTRON® REBETOL® INTRON® A Hepatitis Risk Assessment Resources FAQs What Is Hepatitis? How Is Hepatitis Spread? Treatment for Hepatitis Living with Hepatitis	Take Our Survey Protecting your personal information is very important to Schering Hepatitis Innovations. Please review our Privacy Policy to learn more about what we will and won�t do with the information you provide. Have you or someone you know been diagnosed with chronic viral hepatitis B or C? Yes No What is your relationship to the person with chronic viral hepatitis B or C? Self Family Member Friend Other What is your/their age? Years: <30 30-39 40-49 50-59 60-69 70+ How long ago were you/they diagnosed with chronic viral hepatitis? 1-6 Months 7-12 Months 2-3 Years 4-5 Years 6+ Years With what type of chronic viral hepatitis were you/they diagnosed? Hepatitis B Hepatitis C How did you/they come to know about the chronic viral hepatitis condition? Routine physical Blood bank Symptoms Other Were you/they offered alfa-interferon treatment? Yes No If treatment was refused, what was the primary reason? (Check one only.) Treatment-related side effects Low effectiveness Cost Self-injection drug administration Other What was the specialty of the physician who diagnosed you/them with chronic viral hepatitis B or C? Gastroenterologist Hepatologist Internist Family Practitioner Infectious Disease Other What medications have you/they had or are currently taking to treat chronic viral hepatitis? (Please check all that apply.) PEG-INTRON® (peginterferon alfa-2b) Powder for      Injection INTRON® A (Interferon alfa-2b, recombinant) for      Injection REBETRON® Combination Therapy containing      REBETOL® (Ribavirin, USP) Capsules and INTRON® A      (Interferon alfa-2b, recombinant) Injection Roferon A®* (interferon alfa 2a) Infergen®+ (interferon alfacon-1) Not taken medication Don't know Other *Roferon A® is a registered trademark of Hoffman-La Roche. +Infergen® is a registered trademark of Amgen, Inc. Have you/they had to discontinue treatment for any reason? Yes No If yes, what was the reason? Treatment-related side effects Cost Inconvenience Lack of response to treatment other How many INTRON® A prescriptions have you/they filled in the last year? 0 1-3 4-6 7-12 13+ How many REBETRON® Combination Therapy prescriptions have you/they filled in the last year? 0 1-3 4-6 7-12 13+ Are you/they: Male Female How did you hear about this Web site? Television Magazine Newspaper Mail Information from the doctor's office Electronic search Word of mouth How helpful do you find this Web site? Very helpful Somewhat helpful Not very helpful No help at all Please explain:     Return to Top
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