Medication Label Information Questionnaire
Help us improve medication labels by sharing your experience and feedback.
Your Age Group
*
Please Select
Under 18
18-29
30-44
45-59
60 or older
Highest Level of Education Completed
*
Please Select
Less than high school
High school diploma or equivalent
Some college or vocational training
Bachelor’s degree
Graduate or professional degree
Do you currently take any prescription or over-the-counter medications?
*
Yes
No
How often do you read the labels on your medications?
*
Always
Often
Sometimes
Rarely
Never
How easy is it for you to understand the following information on medication labels?
*
Rows
Very Easy
Somewhat Easy
Somewhat Difficult
Very Difficult
Not Sure
Medication name
1
2
3
4
5
Dosage instructions
6
7
8
9
10
Warnings and precautions
11
12
13
14
15
Expiration date
16
17
18
19
20
Storage instructions
21
22
23
24
25
How would you rate the overall clarity of medication labels you have used?
*
1
2
3
4
5
Which of the following label components do you find most important? (Select all that apply)
*
Medication name
Dosage instructions
Warnings and side effects
Expiration date
Storage instructions
Manufacturer information
Other
Have you ever found any part of a medication label confusing or unclear?
*
Yes
No
If yes, please specify which part(s) of the label were unclear or confusing.
What improvements would you suggest to make medication labels easier to understand?
Would you like to be contacted for further feedback? If yes, please provide your email address.
example@example.com
Submit Feedback
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