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Allergies in America: A Landmark Survey of Nasal Allergy Sufferers Conducted by Schulman, Ronca & Bucuvalas, Inc. February 17, 2006 Conducted by Schulman,

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1 Allergies in America: A Landmark Survey of Nasal Allergy Sufferers Conducted by Schulman, Ronca & Bucuvalas, Inc. February 17, 2006 Conducted by Schulman, Ronca & Bucuvalas, Inc. February 17, 2006 Supported by:

2 1 QA. Including yourself, how many persons, aged 18 and older, live in this household (even if they are not there right now)? QB. Have any of these persons been diagnosed as having hay fever, rhinitis, or nasal allergies? QC. How many persons, 18 or older, in this household have been diagnosed with hay fever, rhinitis or nasal allergies? N=61,655 adults in 31,470 households Adults Diagnosed with Nasal Allergies: Household Screening

3 2 QD. Has this person/have these persons had symptoms like sneezing, itching, watery eyes, nasal congestion, or other nasal allergy symptoms in the past 12 months? QE. Does this person/do any of these persons take any medication for their hay fever, rhinitis or nasal allergies? N=6,315 households with allergic rhinitis Current Nasal Allergies: Household Screening

4 3 QH. What is the age/ages of the person/persons with nasal allergies, rhinitis or hay fever? N=7,758 QD3. What is your age? N=2,500 Age of Persons with Nasal Allergies

5 4 Gender of Persons with Nasal Allergies QH. What is the gender of the person/persons with nasal allergies, rhinitis or hay fever? N=4,614 QMGEN. Gender of respondent? N=2,500

6 5 Diagnosed with Nasal Allergies: Individual Screening QS1A. Has a doctor ever diagnosed you as having hay fever, rhinitis, or nasal allergies? Base: Persons identified as having been diagnosed and symptomatic or being treated for nasal allergies in household screen N=3,257

7 6 Current Nasal Allergies: Individual Screening QS1b.Do you still suffer from hay fever or nasal allergies? S1c. When was the most recent time that you experienced hay fever or symptoms of nasal allergies for a month or longer? QS2. In the past 12 months, have you taken a prescription medication to treat your nasal allergies? N=2,933 persons diagnosed

8 7 General Health Status Q1. In general, would you say your health is excellent, very good, good, only fair, poor or very poor? Unweighted N=2,500

9 8 Asthma and Allergies Q3c. Have you ever been diagnosed with asthma? Q3d. Have you had asthma in the past 12 months? Unweighted N=2,500

10 9 When Diagnosed With Nasal Allergies Q4. At what age were you first diagnosed with nasal allergies, rhinitis or hay fever? Unweighted N=2,500

11 10 Who Diagnosed Nasal Allergies Q5. What was the medical specialty of the doctor who diagnosed you with nasal allergies? Unweighted N=2,500

12 11 Skin and Blood Tests for Allergies Q6a. Were you given a skin test to see what you were allergic to? Q6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500

13 12 Seasonal or Persistent Allergies Q12.Would you describe your nasal allergies as seasonal or do they occur throughout the year? Unweighted N=2,500

14 13 Allergy Symptoms Worse During a Particular Season or Time of Year Q12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Q13a.In the past 12 months, have your nasal allergy symptoms been more frequent or worse during a particular season or time of year? Unweighted N=2,500

15 14 Season Allergies Are the Worse Q13b.During what times of the year are your nasal allergies the worse? Base: Worse at certain times Unweighted N=1,778

16 15 Allergies Worse Outdoors or Inside Q13c. Are your nasal allergies worse when you are outdoors or inside, or is it about the same? Unweighted N=2,500

17 16 Symptoms During Worst Month Q14. During the worst one month period in the past year, did you have (symptom) every day, most days a week, a few days a week, a few days a month, less than that, or never? Unweighted N=2,500

18 17 How Bothersome are Symptoms Q15. When you have nasal allergy attacks, how bothersome are the following symptoms usually --- extremely bothersome, moderately bothersome, slightly bothersome, or not bothersome ? Unweighted N=2,500

19 18 Most Bothersome Symptom Q16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms. Unweighted N=2,362

20 19 Degree of Discomfort from Allergies Q17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted N=2,500

21 20 What Triggers Allergy Symptoms Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,500

22 21 What Triggers Allergy Symptoms (cont.) Q19. What things usually trigger or make your nasal allergy symptoms worse? Unweighted N=2,500

23 22 Employment Status of Persons with Nasal Allergies D6. Are you currently employed full-time, employed part-time, in the military, unemployed and looking for work, retired and not working, student, homemaker, disabled or too ill to work? Unweighted N=2,500

24 23 Do Nasal Allergies Keep from Working Full Time Q21a.Do your nasal allergies keep you from working full time? Unweighted N=2,500

25 24 Nasal Allergies Stop or Limit Working Q21a.Do your nasal allergies keep you from working full time? Q21b. Are you limited in the kind or amount of work you do because of your nasal allergies? Unweighted N=2,500

26 25 Missed Work due to Nasal Allergies Q22a.Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full time Unweighted N=1,315

27 26 Work Interference from Nasal Allergies Q22a.Have you missed work in the past 12 months due to your nasal allergies? Q23a. Aside from actually missing work, have your nasal allergy symptoms in the past 12 months interfered with your performance at work? Base: Employed full time Unweighted N=1,315

28 27 Work Interference due to Allergies Q23b.On days when you had nasal allergy symptoms how much did the symptoms interfere with your ability to do your job? Did the symptoms interfere a lot, a moderate amount, some, only a little, or not at all? Base: Full time, Interfered with work Unweighted N=547

29 28 Productivity and Allergies Q24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would you rank your productivity on days when you don’t have nasal allergy symptoms? Q25. Where would you rank your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base: Employed full time Unweighted N=1,315 Mean Productivity

30 29 Exposed to Allergens at Workplace N26a.Are you exposed to anything at your workplace that affects your nasal allergy symptoms? Base: Full time and interferes at work. Unweighted N=511

31 30 Avoid Activities because of Allergies Q27a.Do you avoid any activities because of your nasal allergies? Unweighted N=2,500

32 31 Symptoms During Worst Month Q30.During allergy season, how often do you feel (ITEM) – frequently, sometimes, rarely or never? Unweighted N=2,500

33 32 Impact of Allergies on Daily Life Q31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500

34 33 Nasal Allergy Control in Past Week Q32.Overall, how well would you say that your nasal allergies have been controlled in the last week? Would you say it was completely controlled, well controlled, somewhat controlled, poorly controlled, or not controlled at all? Unweighted N=2,500

35 34 Allergy Symptom Severity in Past Week Q33.How would you describe your nasal allergies during the last week? Would you say you had … no symptoms, mild symptoms, moderate symptoms, or severe symptoms? Unweighted N=2,500

36 35 Other Conditions in the Past Week Q37. During the last week have you had ………….? Unweighted N=2,500

37 36 Usual Source of Medical Care Q41. Is the place that you usually go for your overall medical care, medical advice or treatment a……? Unweighted N=2,500

38 37 Primary Health Care Provider Q41b.Who do you see most often for your health care, medical advice or treatment ……? Unweighted N=2,500

39 38 Specialty of Doctor Treating Nasal Allergies Q43.What is the medical specialty of the doctor that you see most often for your nasal allergies? Unweighted N=2,500

40 39 Seen Doctor for Nasal Allergies in Past 12 Months Q42a.Have you seen a health practitioner about your nasal allergies in the past 12 months? Unweighted N =2,500

41 40 Skin Test for Nasal Allergies Q45a.Has your doctor or health practitioner ever given you a skin test to see what causes your nasal allergies? Q45b.When was the most recent time you had a skin test for your nasal allergies? Unweighted N =2,500

42 41 Blood Test for Nasal Allergies QN46a. Has your doctor or health practitioner ever given you a blood test to see what causes your nasal allergies? QN46b. When was the most recent time you had a blood test for your nasal allergies? N =2,500

43 42 Shots for Nasal Allergies QN47a. Has your doctor or health practitioner ever given you nasal allergy shots? QN47b. When was the most recent time you had nasal allergy shots? Unweighted N =2,500

44 43 Drops or Extracts for Nasal Allergies QN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under the tongue to treat your nasal allergies? QN47d. When was the most recent time you had nasal allergy drops or extracts by mouth or under the tongue? Unweighted N =2,500

45 44 Shown How to Use Nasal Spray Q48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? Q48b. When was the most recent time a health practitioner showed you how to use a nasal spray for your nasal allergies? Unweighted N=2,500

46 45 Follow Health Practitioner’s Advice Q49. Would you say that you follow your health practitioner’s advice on the management and treatment of your nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500

47 46 Satisfaction with Health Practitioner’s Management of Your Allergies Q51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal allergies? Unweighted N=2,500

48 47 Changed Doctors due to Dissatisfaction Q52a. Have you ever changed doctors because you were dissatisfied with their management of your nasal allergies? Unweighted N=2,500

49 48 Seen Specialist for Nasal Allergies Q54a. Have you seen a specialist about your nasal allergies in the past 12 months? Unweighted N=2,500

50 49 Satisfaction with Specialist’s Management of Your Allergies Q54c. Overall, how satisfied are you with your specialist’s management and treatment of your nasal allergies? Base: Seen specialist other than primary doctor in the past year. Unweighted N=265

51 50 Types of Medications Used for Allergies Q62. For the current management and treatment of your nasal allergy symptoms do you use prescription medications only, non-prescription medications only, or both? Unweighted N=2,500

52 51 Non-Prescription Medicine for Allergies in Past 4 Weeks Q63a. In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Unweighted N=2,500

53 52 Non-Prescription Medicine for Allergies: Recency of Use Q63a.In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Q63b. When was the most recent time that you used an over the counter, non- prescription medicine for relief from nasal allergy symptoms? Unweighted N=2,500

54 53 Which OTC Medicine Used Q63c. What is the name of the over-the-counter medicines you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=1,345

55 54 Satisfaction with Recent OTC Medicine for Nasal Allergies Q63f. How satisfied are you with the over-the-counter medicine you used for your nasal allergies in the past 4 weeks? Base: Used OTC for nasal allergies in the past 4 weeks. Unweighted N=1,344

56 55 Prescription Nasal Spray for Allergies in Past 4 Weeks Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Unweighted N=2,500

57 56 Prescription Nasal Spray for Allergies: Recency of Use Q64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? Q64b. When was the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500

58 57 Which Prescription Nasal Spray Used Q64c. What is the name of the prescription nasal spray you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=919

59 58 How Many Symptoms Relieved by Nasal Spray Q65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=919

60 59 How Quickly Does it Relieve Q68. How long does it take for your current prescription nasal spray to begin giving you symptom relief? Unweighted N=919

61 60 Does Effectiveness Wear Off Q69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919

62 61 When Begins Losing Effectiveness Q69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=440

63 62 Satisfaction with Recent Rx Nasal Spray for Nasal Allergies Q70a. How satisfied are you with the prescription nasal spray you used for your nasal allergies in the past 4 weeks? Base: Used Rx nasal spray for nasal allergies in the past 4 weeks. Unweighted N=919

64 63 Satisfaction with Rx Nasal Sprays for Nasal Allergies Q70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033

65 64 Reason for Not Using Rx Nasal Spray Recently Q71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156

66 65 Other Prescriptions for Allergies in Past 4 Weeks Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks? Unweighted N=2,500

67 66 Other Prescription Medicine Used Q72b.What is the name of the other prescription medicine you take/took for nasal allergies? Base: Used in past 4 weeks. Unweighted N=576

68 67 How Many Symptoms Relieved by Nasal Spray Q73. Does this prescription medicine give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use other prescription medicine. Unweighted N=576

69 68 How Quickly Does it Relieve Q76. How long does it take for this prescription medicine to begin giving you symptom relief? Base: Use other prescription medicine. Unweighted N=576

70 69 Does Effectiveness Wear Off Q77a. Does this prescription medicine lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Use other prescription medicine. Unweighted N=576

71 70 When Begins Losing Effectiveness Q77b. How long after taking this nasal allergy medicine does it begin losing effectiveness? Base: Other prescription medicine loses effectiveness. Unweighted N=243

72 71 Satisfaction with Other Prescription Medicine for Nasal Allergies Q78. How satisfied are you with the other prescription medicine you used for your nasal allergies in the past 4 weeks? Base: Used other prescription medicine for nasal allergies in the past 4 weeks. Unweighted N=576

73 72 Medicine for Allergies in Past 4 Weeks Q63a.In the past 4 weeks, have you used any over-the-counter, non-prescription medicine to give you relief from nasal allergy symptoms? Q64a. In the past 4 weeks, have you used any prescription nasal spray for your nasal allergies? Q72a. Have you taken any other prescription medications for your nasal allergies in the past 4 weeks? Unweighted N=2,500

74 73 Use of Prescription Meds for Nasal Allergies Q79.Do you take prescription medicines for your nasal allergies all through the year or only during the times of the year that your nasal allergies are the worst? Unweighted N=2,500

75 74 Change Prescription Medicines for Nasal Allergies Q81a.How often do you change nasal allergy medicines ---several times each year, once a year, every few years, only rarely or never? Unweighted N=2,500

76 75 Why Changed Medicine for Nasal Allergies Q81b.Why have you changed nasal allergy medicines? Anything else? Base: Have changed nasal allergy medicines. Unweighted N=1,723

77 76 Asked Doctor to Change Medication Q82a.Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=2,500

78 77 Why Dissatisfied with Nasal Allergy Medicine Q82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860

79 78 How Quickly Supposed to Relieve Q85. How quickly are prescription medicines supposed to begin providing symptom relief for nasal allergies? Unweighted N=2,500

80 79 How Long Supposed to Relieve Q86. How long are prescription medicines supposed to provide symptom relief for nasal allergies? Unweighted N=2,500

81 80 Effectiveness Ever Wore Off before 24 Hours Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? Unweighted N=2,500

82 81 Effectiveness Wore Off: Multiple Products Q87a. Have you ever found that the effectiveness of a product that promised 24 hour relief began wearing off earlier? Q87b. Has this happened with more than one nasal allergy product? Unweighted N=2,500

83 82 When Does Effectiveness Wear Off Q87c. About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing off? Base: Found nasal allergy medicine offering 24 hour relief wearing off. Unweighted N=1,461

84 83 Stopped Taking Because Effectiveness Wore Off Q87d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?

85 84 Effectiveness Wears Off Over Time Q88a. Have you ever found that a product’s effectiveness in treating your nasal allergy symptoms wears off over time even when you are taking the medicine as prescribed? Q88b. Has this happened to you with more than one nasal allergy product? Unweighted N=2,500

86 85 When Does Effectiveness Wear Off Q88c. About how long after you started taking it does a nasal allergy medicine’s effectiveness begin wearing off even when taken as prescribed? Base: Found nasal allergy medicine wearing off. Unweighted N=1,364

87 86 Stopped Taking Because Effectiveness Wore Off Q88d. Have you ever stopped taking a product for your nasal allergies because its effectiveness had worn off?

88 87 Nasal Allergy Meds Cause Nosebleeds Q89a. Have any of the medicines that you have taken for your nasal allergy ever caused nosebleeds? Unweighted N=2,500

89 88 How Bothersome were Nosebleeds Q89b. How bothersome were those nosebleeds? Base: Medicine caused nosebleeds. Unweighted N=501

90 89 Side Effects of Allergy Medicines Q90.How many of the medicines that you have taken for allergy had the following types of side effects --- all, most, some, few or none? Unweighted N=2,500

91 90 How Bothersome are Side Effects Q91. How bothersome are the following side effects of nasal allergy medicines --- extremely, moderately, slightly or not bothersome? Unweighted N=2,500

92 91 Try to Avoid Certain Medicines Q100a. Are there any nasal allergy medications that you try to avoid using? Unweighted N=2,500

93 92 Reason Stopped Taking Nasal Allergy Prescription Q94.Have you ever stopped taking a nasal allergy medicine prescribed by your doctor because…. Unweighted N=2,500

94 93 Tell Doctor when Stop Taking Rx Meds Q95. When you have stopped taking a nasal allergy medicine for one of these reasons, do you always tell your doctor right away? Base: Have stopped taking nasal allergy medicine prescribed by doctor. Unweighted N=1,490

95 94 Get Money’s Worth from Rx Meds Q97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies? Unweighted N=2,500

96 95 Most Important for Nasal Allergy Medicine Q98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500

97 96 Important for Nasal Allergy Medicine Q98. In choosing a nasal allergy medicine, which would be the most important to you …? Q99. What would be the next most important to you? Unweighted N=2,500

98 97 How Many Symptoms Relieved for Success Q101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful treatment --- all, most, some, a few or none? Unweighted N=2,500

99 98 Percent Relief for Success Q102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy medicine for it to be considered a successful treatment? Q33. How would you describe your nasal allergy symptoms in the past week?

100 99 How Quickly Must Relieve Q103. How quickly after taking would a nasal allergy medicine have to begin relieving symptoms for you to consider it a successful treatment? Unweighted N=2,500

101 100 How Long Must Last Q104.How long after you take a dose of nasal allergy medicine should symptom relief last for you to consider it a successful treatment? Unweighted N=2,500

102 101 Failed to Follow Physician Instructions Q108. People with nasal allergies sometimes fail to follow their physician’s instructions about their medicines for allergies. Have you ever failed to take an allergy medicine as prescribed because of …… Unweighted N=2,500

103 102 Allergies Impact on Activities with Children Q109b. Do your nasal allergies interfere with activities that you would like to do with the children? Q109c. Do your nasal allergies ever make you feel guilty when they interfere with activities with the children? Base: Children under 18 Unweighted N=882

104 103 Attitudes about Nasal Allergies Q110. Now I am going to read you a series of statements. As I read each statement, please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. Unweighted N=2,500

105 104 Source of Health Insurance Q111a. Do you have any sort of health insurance or health plan to cover your health care costs? Q111c. Is your coverage under that/those plans from ….. Unweighted N=2,500

106 105 How Much of Prescription Drug Costs Covered Q111d. How much of the costs of your prescription drugs is covered by your health plan --- all, most, some, little or none? Unweighted N=2,500

107 106 Insurance Restricts Type Of Medicine Q111f. Does your insurance restrict your doctor from prescribing specific nasal allergy medications for you? Unweighted N=2,500

108 107 Need for Patient Education Q113. How much need do you think there is for better education of people with nasal allergies about their condition and its treatment? Unweighted N=2,500

109 108 Family History of Nasal Allergies Q116. Do any of the following relatives of yours have nasal allergies? Unweighted N=2,500

110 109 Pets in the Household Q117a. Do you have any pets living in your house? Q117b. What kind of pet or pets? Unweighted N=2,500

111 110 Smokers in Household Q118a. Does anyone in your household smoke? Unweighted N=2,500

112 Allergies in America: Survey of Health Professionals Conducted by Schulman, Ronca & Bucuvalas, Inc. February 28, 2006 Conducted by Schulman, Ronca & Bucuvalas, Inc. February 28, 2006 Supported by:

113 112 Study Design PopulationSampling FrameInterview Length Completed Sample Population Aged 18+National RDD34.8 minutes2,500 Cross-section: 1/5/06-1/31/06 Health Professional Survey -- Adult Primary Care -- Allergy -- Otolaryngology -- Nurse practitioner -- Physician assistant AMA/AOA Master List 19.4 minutes 100 50 Physician Survey: 1/17/06-2/14/06

114 113 Health Provider Type Base: Total completed interviews N=400

115 114 Primary Ambulatory Care Setting Q3. In what type of ambulatory care setting do you spend MOST of your (out-patient) patient care time during a usual work week? Is it… N=400

116 115 Patients Seen on Outpatient Basis Q4. In an average week, about how many patients do you see on an outpatient basis? N=400 Weekly average

117 116 Percent of Patients with Rhinitis Q5. About what percent of the outpatients you see each week have allergic rhinitis? N=400 Weekly average

118 117 How Bothersome are Symptoms Q6. For most patients that you see with allergic rhinitis, how bothersome are their nasal allergy symptoms? Would you say they are extremely bothersome, moderately bothersome, slightly bothersome or not bothersome? N=400

119 118 Most Bothersome Symptoms Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400 PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms. Unweighted N=2,362

120 119 Most Bothersome Symptoms (Cont.) Q7. Which of the following nasal allergy symptoms are most bothersome to your patients? N=400 PQ16. Which of these symptoms was the most bothersome to you? Base: Had bothersome symptoms. Unweighted N=2,362

121 120 Discomfort During Allergy Attack Q8. In general, would you say that patients’ discomfort during a nasal allergy attack is usually something they can ignore, they can’t ignore it, but they can tolerate it, or they can’t tolerate it without relief? N=400 PQ17. In general, when you have a nasal allergy attack would you say that your discomfort is usually something you can ignore, you can’t ignore it, but you can tolerate it, or you can’t tolerate it without relief? Unweighted N=2,500

122 121 Patients Missing Work due to Rhinitis Q9. Among your patients with allergic rhinitis who are employed, how many would you estimate have missed work in the past 12 months due to their nasal allergies? N=400 PQ22a.Have you missed work in the past 12 months due to your nasal allergies? Base: Employed full time Unweighted N=1,315

123 122 Productivity when Nasal Allergies are at Their Worst Q10. Thinking about productivity at work on a scale from 0 to 100, where 100 means 100% productivity, where would you rank the productivity of persons with allergic rhinitis, when their nasal allergies are at their worst? N=400 PQ24. Thinking about your productivity on a scale of 0 to 100, where 100 means 100% productivity, where would you rank your productivity on days when you don’t have nasal allergy symptoms? PQ25. Where would you rank your productivity on the same scale of 0 to 100 … when your nasal allergies are at their worst? Base: Employed full time Unweighted N=1,315 Weekly average

124 123 Impact of Allergies on Daily Life Q11. For the average patient with allergic rhinitis, during allergy season, would you say the condition impacted their daily life a lot, impacted their daily life a moderate amount, impacted their daily life some, impacted their daily life a little, or does not really impact their daily life? N=400 PQ31. During allergy season, would you say the condition impacted your daily life …..? Unweighted N=2,500

125 124 Classification of Nasal Allergies Q12. Do you classify the severity of nasal allergies in patients [DOCTOR VERSION: when you make the diagnosis] [PA/NP VERSION: when you initially see them]? N=400 Weekly average

126 125 Percent of Patients with Seasonal Allergies Q13a.What proportion of your patients with nasal allergies would you classify as having seasonal rather than perennial allergies? N=400 PQ12. Would you describe your nasal allergies as seasonal or do they occur throughout the year? Unweighted N=2,500 Weekly average

127 126 Proportion of Patients Classified by Symptom Severity Q13b. What proportion of your patients with nasal allergies would you classify as having…? N=400

128 127 Skin Test to Confirm Diagnosis Q14. How often do you conduct a skin test, either in your office or by referral, when making or confirming a diagnosis of allergic rhinitis…? N=400 PQ6a. Were you given a skin test to see what you were allergic to? Unweighted N=2,500

129 128 Blood Test to Confirm Diagnosis Q15. How often do you conduct a blood test, either in your office or by referral, when making or confirming a diagnosis of allergic rhinitis…? N=400 PQ6b. Were you given a blood test to see what you were allergic to? Unweighted N=2,500

130 129 Allergy Shots to Treat Nasal Allergies Q16. Among your patients with allergic rhinitis, do you give allergy shots to or refer patients to get allergy shots to treat nasal allergies to all, most, some, a few or none? N=400 PQN47a. Has your doctor or health practitioner ever given you nasal allergy shots? Unweighted N =2,500

131 130 Allergy Drops to Treat Nasal Allergies Q17. Among your patients with allergic rhinitis, do you give or refer patients to get allergy drops or extracts by mouth or under the tongue to treat nasal allergies to all, most, some, a few or none? N=400 PQN47c. Has your doctor or health practitioner ever given you nasal allergy drops or extracts by mouth or under the tongue to treat your nasal allergies? Unweighted N =2,500

132 131 How Often Show How to Use Nasal Spray Q18. How often do you show patients how to use a nasal spray for their nasal allergies? N=400 PQ48a. Has a health practitioner ever shown you how to use a nasal spray for your nasal allergies? PQ48b. When was the most recent time a health practitioner showed you how to use a nasal spray for your nasal allergies? Unweighted N=2,500

133 132 How Often Patients Follow Advice Q19. Would you say that most of your patients with allergic rhinitis follow your advice on the management and treatment of nasal allergies…? N=400 PQ49. Would you say that you follow your health practitioner’s advice on the management and treatment of your nasal allergies – all of the time, most of the time, some of the time, rarely or never? Unweighted N=2,500

134 133 Percent of Patients Very Satisfied With Disease Management Q20. Approximately, what proportion of your patients with nasal allergies would you say are VERY satisfied with the management of their disease? Would you say… N=400 PQ51. Overall, how satisfied are you with your health practitioner’s management and treatment of your nasal allergies? Unweighted N=2,500

135 134 Effect of Medical Treatment on Quality of Life Q21. How much effect does medical treatment have on the quality of life for an adult with allergic rhinitis? N=400

136 135 How Often Patients Change Allergy Medications Q22. How often do your patients with allergic rhinitis change allergy medicines – sever times each year, once a year, once every few years, only rarely or never? N=400 PQ81a.How often do you change nasal allergy medicines ---several times each year, once a year, every few years, only rarely or never? Unweighted N=2,500

137 136 Patients Ask to Change Allergy Medicine Q23a. What proportion of your patients with allergic rhinitis have asked you to change their allergy medication because they were dissatisfied with it – all, most, some, only a few or none? N=400 PQ82a.Have you ever asked your doctor to change your nasal allergy medication because you were dissatisfied with it? Unweighted N=2,500

138 137 Reasons for Dissatisfaction with Medicine Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change medicine because dissatisfied N=395 PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860

139 138 Reasons for Dissatisfaction with Medicine (cont.) Q23b. Why are patients dissatisfied with their allergy medicine? [Unaided question] Base: Have asked to change medicine because dissatisfied N=395 PQ82c. Why were you dissatisfied with that medicine? Base: Have asked doctor to change nasal allergy medicines. Unweighted N=860

140 139 Most Important Attribute of Allergy Medicine Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? N=400 PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? Unweighted N=2,500

141 140 Most Important Attributes of Allergy Medicine Q38. In choosing a medicine for nasal allergies, which would be most important to your patients? Q39. What would be next most important to your patients? N=399 PQ98. In choosing a nasal allergy medicine, which would be the most important to you …? PQ99. What would be the next most important to you? Unweighted N=2,500

142 141 Preferred Medicines for Moderate to Severe Persistent Allergy Symptoms Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=400

143 142 Preferred Medicines for Moderate to Severe Persistent Allergy Symptoms (cont.) Q31. What class or classes of medication is your preferred choice for adults with moderate to severe persistent allergy symptoms? [Unaided response] N=400

144 143 Patients Using Intra-Nasal Corticosteroids Q32.What proportion of your patients with allergic rhinitis are currently using an intra-nasal corticosteroid for their condition? N=400 PQ64a. In the past 4 weeks, have you used any prescription nasal sprays for your nasal allergies? PQ64b. When was the most recent time that you used a prescription nasal spray for your nasal allergies? Unweighted N=2,500

145 144 Symptoms Relieved by Intra-nasal Corticosteroids Q33. Do intra-nasal corticosteroids give most patients relief from all of their symptoms, most symptoms, some symptoms, few symptoms, or no symptoms? N=400 PQ65. Does your current prescription nasal spray give you relief from all of your symptoms, most symptoms, some symptoms, or no symptoms? Base: Use prescription nasal spray. Unweighted N=919

146 145 Time for Intra-nasal Corticosteroids Relief Q34.How long does it take an intra-nasal corticosteroid to begin giving symptoms relief? N=400 PQ68. How long does it take for your current prescription nasal spray to begin giving you symptom relief? Unweighted N=919

147 146 How Long Intra-nasals Provide Relief Q25.How long are intra-nasal corticosteroids supposed to provide symptoms relief for nasal allergies? N=400 24 hours or longer

148 147 Do Intra-nasals Lose Effectiveness Q35a.Do intra-nasal corticosteroids lose effectiveness over the course of the day or night, or do they remain as effective as when the patient first took it? N=400 PQ69a. Does your current prescription nasal spray lose effectiveness over the course of the day or night, or does it remain as effective as when you first took it? Base: Used prescription nasal spray Unweighted N=919 Yes

149 148 Time Until Intra-nasals Lose Effectiveness Q35b.How long after taking an intra-nasal corticosteroid does it begin losing effectiveness allergies? Base: Lose effectiveness over day and night N=139 PQ69b. How long after taking your current nasal allergy medicine does it begin losing effectiveness? Base: Nasal spray loses effectiveness. Unweighted N=440 24 hours or longer

150 149 Intra-Nasal Corticosteroids Wear Off Over Time Q27a. Have you ever found that the effectiveness of intra-nasal corticosteroid products in treating nasal allergy symptoms wears off over time, even when taking the medicine as prescribed? N=400 Yes

151 150 Time Until Intra-nasal Corticosteroids Wear Off Q27b. About how long after the patient starts taking an intra-nasal corticosteroid does its effectiveness for allergy symptoms begin wearing off, even when being taken as prescribed? Base: Effectiveness wears off N=213

152 151 Side Effects of Intranasal Corticosteroids Q28.How many of the intranasal corticosteroids for nasal allergies have the following types of side effects – all, most, some, few or none? N=400

153 152 Patients Avoid Any Intra-Nasal Corticosteroids Q29a. Are there any intranasal corticosteroid medications for nasal allergies that your patients try to avoid using? N=400 Yes

154 153 Reasons Avoid Intranasal Corticosteroids by Specialty Q29b. Why do your patients try to avoid that/those product(s)? N=108

155 154 Satisfaction of Patients with Intra-nasal Corticosteroids Q36.In general, how satisfied are your allergic rhinitis patients with their intra-nasal corticosteroids? Would you say that they are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied? N=400 PQ70b. In general, how satisfied have you been with the prescription nasal spray you have used for your nasal allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. Unweighted N=2,033

156 155 Patients Avoid Using Intra-Nasal Corticosteroids for Nasal Allergies Q37a. Do patients avoid using intra-nasal corticosteroids for their nasal allergies? N=400 Yes

157 156 Reasons Avoid Intra-nasal Corticosteroids Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal corticosteroids for nasal allergies N=178 PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156

158 157 Reasons Avoid Intra-nasal Corticosteroids (cont.) Q37b. Why do they avoid using intra-nasal corticosteroids for their nasal allergies? Base: Avoid using intra-nasal corticosteroids for nasal allergies N=178 PQ71. Why haven’t you used a prescription nasal spray you take/took for nasal allergies in the past 4 weeks? Base: Used in past but not past 4 weeks. Unweighted N=1,156

159 158 Number of Symptoms Relieved for Success Q40.How many symptoms would an intranasal corticosteroid have to relieve for you to consider it a successful treatment – all, most, some, a few or none? N=400 PQ101. How many symptoms would a nasal allergy medicine have to relieve for you to consider it a successful treatment --- all, most, some, a few or none? Unweighted N=2,500

160 159 Percent Symptom Relief for Success Q41.On a scale of 0 to 100 percent, what percent symptom relief would you expect from an intra-nasal corticosteroid for it to be considered a successful treatment? N=400 PQ102. On a scale of 0 to 100 percent, what percent symptom relief would you expect from a nasal allergy medicine for it to be considered a successful treatment? Unweighted N=2,500 Mean

161 160 How Quick Symptom Relief for Success Q42. How quickly after taking would an intra-nasal corticosteroid have to begin relieving symptoms for you to consider it a successful treatment? N=400 Mean number of hours

162 161 Time Intra-nasals Last for Success Q43.How long after taking a dose of intra-nasal corticosteroid should symptom relief last for you to consider it a successful treatment? N=400 Wanting 24-hours or longer (%)

163 162 Opinions About Nasal Allergies Q44. Now I am going to read you a series of statements. As I read each statement, please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. N=400 PQ110. Now I am going to read you a series of statements. As I read each statement, please tell me whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with the statement. Unweighted N=2,500

164 163 Patients Get Monies Worth from Rx Medicines Q30.Overall, do your patients feel they get their money’s worth out of prescription medicines for nasal allergies? N=400 PQ97. Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies? Unweighted N=2,500 Yes

165 164 Need for Better Education of Patients Q45. How much need do you think there is for better education of PEOPLE WITH NASAL ALLERGIES about their condition and its treatment? Do you think there is a… N=400 PQ113. How much need do you think there is for better education of people with nasal allergies about their condition and its treatment? Unweighted N=2,500

166 165 Aware of Professional Guidelines Q46a. Are you aware of any professional guidelines for the diagnosis and management of allergic rhinitis? N=400 Yes

167 166 Publisher of Guidelines Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260

168 167 Publisher of Guidelines (cont.) Q46b. Who publishes those guidelines? Base: Aware of Guidelines N=260

169 168 Graduation Year D1. In what year did you [DOCTOR VER: graduate from Medical or Osteopathic school] [NP/PH VER: receive your license as a physician assistant]? N=400

170 169 Continuing Medical Education D2. Have you taken any continuing medical education (CME) courses related to the management and treatment of allergic rhinitis [DOCTOR VER: since medical school] [PA/NP VER: since receiving your license]? N=400 Yes

171 170 Primary Practice Location D3. Is your primary practice located in a central city, a suburb, a small city, a town or a rural area? N=400

172 171 Gender D4. Gender N=400


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