We would like to know more about our visitors to the Bayer Self Healthsite, so please take a minute to tell us more about yourself. Feel free to answer any or all of the questions below. Your answers will help us tailor our web site's information so it closely matches your needs. And, in appreciation of your input, we would like to send you a variety of discount offers for our products (coupons will only be sent to Canadian residents. Coupons are redeemable only in Canada except in provinces where prohibited by law). To receive them, check off the final question of the survey. Do you have a question to ask of us? Simply e-mail Bayer. Your name: First Last Address: Street Apt. # City Prov./State Postal/Zip Code Age category: Under 18 19-25 26-34 35-44 45-54 55+ Sex: Male Female Your first language is: English French Other The total number of people in your household: 1 2 3 4 or more What over-the-counter pain reliever brand do you frequently use ? Advil® Aspirin® Entrophen® Tylenol® Store brands/Generic Other ®Advil is a Registered Trade Mark of Whitehall-Robins Inc., Tylenol is a Registered Trade Mark of McNeil Consumer Products Co., Entrophen is a Registered Trade Mark of Merck Frosst Canada Inc. How often do you require these medications? Less than 6 tablets/mo. 7-14 tablets/mo. 15 or more tablets/mo Your main reason for usage is: Headache Arthritic pain Heart Attack and Stroke prevention Back ache Menstrual pain Cold/Flu Other Who in your household generally purchases the pain reliever products you and your family use? I do. My spouse does. Other household member purchases them. Would you like to receive further information from Bayer? Yes No If yes, select from the following: Myths and Facts about Aspirin® ASA Vaginal Yeast Infection? How to choose the cure that's right for you. Other Information ( please e-mail Bayer ) Would you like to receive discount offers for Bayer products? Yes No Thank you for your time and input in filling out our questionnaire. If you have a specific question to ask of us, simply e-mail Bayer.