The Cholesterol Survey

Take this simple survey now to receive a FREE copy of Low-Fat Favorite Recipes,** along with other valuable healthy lifestyle information from AstraZeneca, the maker of CRESTOR.

Please see Important Safety Information about CRESTOR below.


**Cookbook is intended for recipient only. Limit one cookbook per recipient.

AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. Please visit www.azprivacystatement.com to review our Privacy Statement.

To recieve your cookbook, fill out your address, complete the survey, and hit "send the survey now" below.
*Indicates a required field
1.
Do you have high cholesterol?
2.
What are you doing to manage your cholesterol, if anything? (Check all that apply.)
3.
Which medication are you currently taking to treat high cholesterol, if any?
4.
If you are taking CRESTOR or another branded statin, do you use the product Web site for that medication (eg, CRESTOR.com) as a resource for information?
5.
If you are taking CRESTOR, how long have you been taking it?
6.
How often do you miss a dose of your cholesterol medication?
7.
What is your current out-of-pocket payment (copay) for receiving a 30-day supply of your cholesterol medication?
8.
Have you ever used a pharmaceutical company-provided savings card to reduce the cost of your copay for cholesterol medication?