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Please help us make the 1on1health patient education program as helpful as possible. Your feedback will assist with future program enhancements. Thank you for sharing your ideas.

How did you learn about 1on1health®? Check all that apply.
Doctor
 Nurse
 Friend or family member
 Internet search engine
 Doctor's office display
 Other
When did a doctor tell you that you had migraine (select one)?
 Within the past six months
 More than six months
 A doctor did not tell me that I have migraine
 Don't know
How clear was each of the following in 1on1health®?   
  It’s important to recognize the symptoms of a migraine so that you can treat it quickly.
Not at all clear 1     2     3     4     5    Very clear

  Knowing what triggers your migraines may help you avoid them.
Not at all clear 1     2     3     4     5    Very clear

Based on the information in 1on1health®, how likely are you to:   
  Have better conversations with your doctor
Not likely 1     2     3     4     5    Extremely likely

  Discuss medication options with your doctor
Not likely 1     2     3     4     5    Extremely likely

  Establish a healthier lifestyle
Not likely 1     2     3     4     5    Extremely likely

Please rate 1on1health® on the following:   
  Ease of finding information
Poor 1     2     3     4     5    Very good

  Ease of understanding information
Poor 1     2     3     4     5    Very good

  Quality of information
Poor 1     2     3     4     5    Very good

Did you see tips on managing migraines?
    Yes     No    

  If yes, please rate these tips.
Poor 1     2     3     4     5    Very good

Did you see activities (quizzes, action plans, etc.)?
    Yes     No    

  If yes, please rate the activities.
Poor 1     2     3     4     5    Very good

Will you come back to 1on1health®?
    Yes     No    

Would you recommend 1on1health® to others?
    Yes     No    

Please enter your zip code:   
   
   
What is your gender?
 Male
 Female
What is your age?
 13-17
 18-24
 25-34
 35-44
 45-54
 55-64
 65+
GSK For You
The content in this 1on1health program was developed by GlaxoSmithKline in association with WebMD. This information is not a substitute for your doctor’s medical advice, nor is your doctor responsible for its content. You should promptly consult a medical professional if you have concerns about your health.
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