Personal information
- BMI - Body Mass Index
- How much do you weight? / kg
- How much do you weight? / lbs (stones + lbs)
- How much do you weight? / stones
- How tall are you? / cm
- How tall are you? / Feet & inches
- Do you follow one or more of the following nutrition rules?
- Gluten-free diet
- Lactose-free diet
- Low-carb / no-carb diet
- Pescatarian diet
- Vegan diet
- Vegetarian diet
- What are your hobbies and interests?
- Hobbies
- How often do you do sport?
- Sport frequency
- How many hours do you usually sleep per night?
- Sleeping habits
- How much time do you spend normally in front of a digital screen like a smartphone, laptop, desktop or TV? / On a weekday
- How much time do you spend normally in front of a digital screen like a smartphone, laptop, desktop or TV? / On the weekend
- Screen time per day on weekdays
- Screen time per day on weekends
- How satisfied or dissatisfied are you personally with your health?
- Top2 (very satisfied & satisfied): How satisfied or dissatisfied are you personally with your health?
- What would you like to change in your life to achieve a healthier lifestyle?
- Which of the following things have you done in the past 12 months?
- Have you been on sick leave for any of the following reasons in the last 12 months?
- Chronical desease
- Do you suffer from any of the following chronic diseases?
- How many surgeries have you had in your life?
- Which of the following cosmetic treatments have you undergone in the past 12 months?
- How often have you ever undergone cosmetic treatments?
- Regular user of prescribed medication
- Are you regularly taking prescribed medicine?
Attitudes & worries
- Which of these statements do you agree with?
- Which statements about the healthcare system of your country do you agree with?
- How worried or not are you about the following health-related topics? / Financial situation when getting seriously ill
- How worried or not are you about the following health-related topics? / Caring situation when I'm old
- How worried or not are you about the following health-related topics? / Antibiotic resistance
- How worried or not are you about the following health-related topics? / Harmful substances in the food
- How worried or not are you about the following health-related topics? / Genetically modified food
- How worried or not are you about the following health-related topics? / Air-pollution
- How worried or not are you about the following health-related topics? / Increasing UV radiation
- How worried or not are you about the following health-related topics? / Chronical, restrictive diseases
- How worried or not are you about the following health-related topics? / Life-threatening diseases
- Top-2 (very worried & rather worried): How worried or not are you about the following health-related topics?
- Which of the following statements do you agree or disagree with? / There will be less money for the NHS after Brexit
- Which of the following statements do you agree or disagree with? / I am worried about EU staff leaving the NHS
- Which of the following statements do you agree or disagree with? / I am worried about access to medicine after Brexit
- Which of the following statements do you agree or disagree with? / I am worried about how a trade deal with America could impact the NHS
- Which of the following statements do you agree or disagree with? / Brexit will provide opportunities to improve the NHS
- Which of the following statements do you agree or disagree with? / The NHS will receive 350 million every week, once Brexit is complete
- Which of the following statements do you agree or disagree with? / Brexit will stop immigration negatively impacting the NHS
- Top-2 (strongly agress & agree): Which of the following statements do you agree or disagree with?
- Which of these digital services offered by doctors would you like to use or do you already use on a regular basis? / Online medical record
- Which of these digital services offered by doctors would you like to use or do you already use on a regular basis? / Online prescriptions
- Which of these digital services offered by doctors would you like to use or do you already use on a regular basis? / Online consultation (e.g. advisory, support and diagnosis of a doctor via chat)
- Which of these digital services offered by doctors would you like to use or do you already use on a regular basis? / Online appointment scheduling
- Which of these digital services offered by doctors would you like to use or do you already use on a regular basis? / Telemonitoring (digital remote examination, diagnosis and supervision with a mobile medical device)
- Which of these statements regarding medical cannabis, which was prescribed by a doctor apply to you?
- When was the last time you took medical cannabis, which was prescribed by a doctor?
- Medical cannabis is offered in different forms. Which form would you prefer for intake, no matter if you have ever used it or not?
Healthcare product purchase
- Retail store offline purchaser
- How often do you buy the following healthcare products in a drugstore or food retail stores (e.g. supermarket, hypermarket). / Prescribed medication
- How often do you buy the following healthcare products in a drugstore or food retail stores (e.g. supermarket, hypermarket). / Over-the-counter healthcare products
- Top-2 (more often than once a month & once a month): How often do you buy the following healthcare products in a drugstore or food retail stores (e.g. supermarket, hypermarket)?
- From which of these local providers have you obtained healthcare products in the past 12 months?
- How have you come in contact with a local pharmacy in the past 3 months no matter if you have visited one or not?
- Pharmacy offline purchaser
- How often do you get the following products at a local pharmacy (not online)? / Prescribed medication
- How often do you get the following products at a local pharmacy (not online)? / Over-the-counter healthcare products
- Top-2 (more often than once a month & once a month): How often do you get the following products at a local pharmacy (not online)?
- What are your reasons for obtaining healthcare products offline and not online?
- Retail store online purchaser
- How often do you obtain the following products in an online store, which is not an online pharmacy (e.g. Amazon)? / Prescribed medication
- How often do you obtain the following products in an online store, which is not an online pharmacy (e.g. Amazon)? / Over-the-counter healthcare products
- Top-2 (more often than once a month & once a month): How often do you obtain the following products in an online store, which is not an online pharmacy (e.g. Amazon)?
- How often do you obtain the following products in an online pharmacy? / Prescribed medication
- How often do you obtain the following products in an online pharmacy? / Over-the-counter healthcare products
- Top-2 (more often than once a month & once a month): How often do you obtain the following products in an online pharmacy?
- From which of this online shops & pharmacies did you obtain healthcare products in the last 12 months?
- Why do you buy medication online instead of offline?
- Pharmacy online purchaser'
Health insurance
- We want to understand a bit more about your opinion of health insurance: Which of these statements do you agree with?
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Rating portal for doctors
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Doctor locator tool
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Check-up / vaccination reminder tool
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Interactive health coaching
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Online information on diseases and prevention
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Online prevention and rehabilitation classes
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Online appointment booking
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Online summary of my medical treatments and prescriptions
- Which of these digital services offered by your private health insurance provider or the NHS would you like to use, or do you already use regularly? / Online consultation with an insurance agent
- Do you have a private health insurance?
- Who is insured under that insurance?
- How did you find out about the provider of your private healthcare insurance?
- What services are included in your private insurance?
- Who is your private health insurance provider?
- Overall, how satisfied are you currently with your private health insurance provider?
- Top-2 (satisfied & rather satisfied): How satisfied are you currently with your privat health insurance provider?
- How satisfied are you regarding the following points? / Price
- How satisfied are you regarding the following points? / Online services
- How satisfied are you regarding the following points? / Consultation
- How satisfied are you regarding the following points? / Smartphone app
- How satisfied are you regarding the following points? / Alternative healthcare offer (e.g. Chinese medicine).
- How satisfied are you regarding the following points? / Financial support for preventive actions (e.g. sport classes or prophylaxis)
- How satisfied are you regarding the following points? / Incentives for taking part in preventative action
- How satisfied are you regarding the following points? / Transparency
- How satisfied are you regarding the following points? / Accessibility
- Top-2 (very satisfied & satisfied): How satisfied are you regarding the following points?
- How likely are you going to change your private health insurance provider at the next possible occasion?
- Top-2 (very likely & likely): How likely are you going to change your private health insurance provider at the next possible occasion?
- What would be a reason for you to switch your private health insurance provider?
eHealth
- Which of these statements do you agree with?
- Which of these health apps and smart health devices (connected to the internet) have you used in the past 12 months?
- What are the reasons for using eHealth apps and devices?
- What are the reasons against using eHealth apps and devices?
- Which type of health app have you used in the past 12 months?
- Could you imagine using any of the following type of health apps?
- For which of the following types of health app have you paid?
- Which of these health apps do you know, even if only by name?
- From which of these health apps have you used a paid version in the last 12 months?
- Which of these smart health devices (connected to the internet) have you used in the past 12 months?
- Which of these smart health devices (connected to the internet) are you planning to buy in the next 12 months?
- Which of these brands of a fitness or health tracker or a smart watch do you know even if only by name?
- Which of these brands do you own a fitness or health tracker or a smart watch from?
Diseases & OTC treatment
- Have you suffered from any of the following complaints in the past 12 months?
- Which statements do you agree with?
- Where have you come across advertisements for over-the counter products in the past 4 weeks?
- Have you treated any of the following complaints with an over-the-counter product?
Cold & cough remedies
- Cold prevalence
- Which of the following cold-related symptoms have you suffered from the past 12 months?
- How much did the cold affect your quality of life the last time you suffered from it?
- How often have you suffered from a cold in the past 12 months?
- Cold OTC treater
- How often have you used over-the counter products to treat your symptoms when suffering from a cold in the past 12 months?
- Which of the following cold-related symptoms have you treated with over-the-counter products the past 12 months?
- Which of these brands offering over-the counter remedies against a cold or cold- related complaints do you know?
- Which of these brands offering over-the-counter remedies against a cold or cold- related complaints have you used in the past 12 months?
- Please rate which of the following statements apply to the brand below: Actifed
- Please rate which of the following statements apply to the brand below: Beechams
- Please rate which of the following statements apply to the brand below: Benylin
- Please rate which of the following statements apply to the brand below: Day&Night Nurse
- Please rate which of the following statements apply to the brand below: Otriven
- Please rate which of the following statements apply to the brand below: Halls
- Please rate which of the following statements apply to the brand below: Jakemans
- Please rate which of the following statements apply to the brand below: Lemsip
- Please rate which of the following statements apply to the brand below: NeilMed Sinus Rinse
- Please rate which of the following statements apply to the brand below: Olbas
- Please rate which of the following statements apply to the brand below: Steromar
- Please rate which of the following statements apply to the brand below: Strepslis
- Please rate which of the following statements apply to the brand below: Sudafed
- Please rate which of the following statements apply to the brand below: Vicks/Wick
- Which of these statements best describes how you usually buy over-the-counter products for cold-related symptoms?
- Where do you usually buy over-the-counter products to treat cold-related symptoms?
- Cold OTC purchaser by type
- What is important to you when purchasing over-the counter products for cold-related symptoms?
Skin problems
- Skin problem prevalence
- Which of the following skin problems have you suffered from the past 12 months?
- How much do the following skin problems affect your quality of life? / Acne
- How much do the following skin problems affect your quality of life? / Allergic skin rash
- How much do the following skin problems affect your quality of life? / Couperose/rosacea
- How much do the following skin problems affect your quality of life? / Inflamed skin
- How much do the following skin problems affect your quality of life? / Neurodermatitis / atopic skin
- How much do the following skin problems affect your quality of life? / Psoriasis
- How much do the following skin problems affect your quality of life?/ Sensitive skin
- How much do the following skin problems affect your quality of life? / Very dry skin (prone to crack)
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Acne
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Allergic skin rash
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Couperose/rosacea
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Inflamed skin
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Neurodermatitis / atopic skin
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Psoriasis
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Sensitive skin
- How long did it take for the symptoms of the following skin problems to fade the last time you suffered from them? / Very dry skin (prone to crack)
- How frequently have you suffered from the following skin problems in the past 12 months? / Acne
- How frequently have you suffered from the following skin problems in the past 12 months? / Allergic skin rash
- How frequently have you suffered from the following skin problems in the past 12 months? / Couperose/rosacea
- How frequently have you suffered from the following skin problems in the past 12 months? / Inflamed skin
- How frequently have you suffered from the following skin problems in the past 12 months? / Psoriasis
- How frequently have you suffered from the following skin problems in the past 12 months? / Sensitive skin
- How frequently have you suffered from the following skin problems in the past 12 months? / Very dry skin (prone to crack)
- Skin problem OTC treater
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Acne
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Allergic skin rash
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Inflamed skin
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Psoriasis
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Sensitive skin
- How often have you used over-the counter products to treat skin problems you’ve suffered from in the past 12 months? / Very dry skin (prone to crack)
- Which of these brands offering over-the counter products for skin treatment do you know?
- Which of these brands offering over-the-counter products for skin treatment have you used to treat your skin problems in the past 12 months?
- Which of these statements best describes how you usually buy over-the-counter products for skin treatment?
- Where do you usually buy over-the-counter products for skin treatment?
- Skin OTC purchaser by type
- What is important to you when purchasing over-the counter products for skin treatment?
Analgesics & pain
- Pain prevalence
- Which of the following kinds of pain have you suffered from in the past 12 months?
- Backpain prevalence
- Headache prevalence
- Joint pain prevalence
- Abdominal pain prevalence (women only)
- Muscle pain prevalence
- Stomach ache prevalence
- Toothache prevalence
- How much did the pain affect your quality of life the last time you suffered from it? / Backpain
- How much did the pain affect your quality of life the last time you suffered from it? / Headache
- How much did the pain affect your quality of life the last time you suffered from it? / Joint pain
- How much did the pain affect your quality of life the last time you suffered from it? / Abdominal pain (Base: only women)
- How much did the pain affect your quality of life the last time you suffered from it? / Muscle pain
- How much did the pain affect your quality of life the last time you suffered from it? / Stomach ache
- How much did the pain affect your quality of life the last time you suffered from it? / Toothache
- How often have you suffered from the following kind of pain in the past 12 months? /Abdominal pain (Base: only women)
- How often have you suffered from the following kind of pain in the past 12 months? / Backpain
- How often have you suffered from the following kind of pain in the past 12 months? / Headache
- How often have you suffered from the following kind of pain in the past 12 months? / Joint pain
- How often have you suffered from the following kind of pain in the past 12 months? / Muscle pain
- How often have you suffered from the following kind of pain in the past 12 months? / Stomach ache
- How often have you suffered from the following kind of pain in the past 12 months? / Toothache
- Pain OTC treater
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Abdominal pain (Base: only women)
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Backpain
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Headache
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Joint pain
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Muscle pain
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Stomach ache
- How often have you used over-the counter products against the following kind of pain in the past 12 months? / Toothache
- Which of these brands offering over-the counter products for pain do you know?
- Which of these brands offering over-the-counter products for pain have you used in the past 12 months?
- Please rate which of the following statements apply to the brand below: 4head
- Please rate which of the following statements apply to the brand below: Alka-Seltzer
- Please rate which of the following statements apply to the brand below: Anadin
- Please rate which of the following statements apply to the brand below: Cura-Heat
- Please rate which of the following statements apply to the brand below: Deep Heat
- Please rate which of the following statements apply to the brand below: Feminax
- Please rate which of the following statements apply to the brand below: Nurofen
- Please rate which of the following statements apply to the brand below: Panadol
- Please rate which of the following statements apply to the brand below: Paramol
- Please rate which of the following statements apply to the brand below: Salonpas
- Please rate which of the following statements apply to the brand below: Solpadeine
- Please rate which of the following statements apply to the brand below: Syndol
- Please rate which of the following statements apply to the brand below: Thermacare
- Please rate which of the following statements apply to the brand below: Voltarol
- Which of these statements best describes how you usually buy over-the-counter products against pain?
- Where do you usually buy over-the-counter products to treat pain?
- Pain OTC purchaser by type
- What is important for you when purchasing over-the counter products against pain?
Sleep disorder
- Sleep disorder prevalence
- What kind of sleeping disorder have you faced the past 12 months?
- How much did the sleep disorder affect your quality of life the last time you suffered from it?
- Thinking about the past 12 months, how often have you suffered from sleep disorder no matter how many nights it last?
- Sleep disorder OTC treater
- And how often have you used over-the counter products against your sleep disorder in the past 12 months?
- Which of these brands offering over-the counter products for sleep disorders do you know?
- v0910_sleep_brand_usage
- Which of these statements best describes how you usually buy over-the-counter products against sleep disorder?
- Where do you usually buy over-the-counter products to treat your sleep disorder?
- Sleep OTC purchaser by type
- What is important to you when purchasing over-the counter products for your sleep disorder?
Digestive & intestinal
- Digestive complaint prevalence
- Which of the following symptoms of digestive problems have you suffered from in the past 12 months?
- How much did your digestive complaint affect your quality of life the last time you suffered from it?
- How often have you suffered from any kind of digestive complaints (e.g. bloating, nausea, constipation) over the past 12 months?
- Digestive complaint OTC treater
- And how often have you used over-the counter products for your digestive complaints in the past 12 months?
- And which of the following symptoms have you treated with over-the-counter products in the past 12 months?
- Which of these brands offering over-the counter products for digestive complaints do you know?
- Which of these brands offering over-the-counter products for sleep disorders have you used in the past 12 months?
- Please rate which of the following statements apply to the brand below: Buscopan
- Please rate which of the following statements apply to the brand below: Colpermin
- Please rate which of the following statements apply to the brand below: Dulcolax
- Please rate which of the following statements apply to the brand below: Dulcosoft
- Please rate which of the following statements apply to the brand below: Gaviscon
- Please rate which of the following statements apply to the brand below: Imodium
- Please rate which of the following statements apply to the brand below: Movicol
- Please rate which of the following statements apply to the brand below: Nexium Control
- Please rate which of the following statements apply to the brand below: Pepto-Bismol
- Please rate which of the following statements apply to the brand below: Remegel
- Please rate which of the following statements apply to the brand below: Rennie
- Please rate which of the following statements apply to the brand below: Senokot
- Please rate which of the following statements apply to the brand below: Zantac
- Which of these statements best describes how you usually buy over-the-counter products against digestive complaints?
- Where do you usually buy over-the-counter products for digestive complaints?
- Digestive OTC purchaser by type
- What is important for you when purchasing over-the counter products for digestive complaints?
Mental health
- Which of the following statements do you agree with?
- Have you experienced any of the following things in the past 12 months?
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Anxiety
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Depressive phase
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Feeling of loneliness / social isolation
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Mood swing
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Panic attacks
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Phases of lethargy
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Phases of sadness
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Phobias
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Stress
- Do you feel that the intensity of the following issues has increased in the past 12 months compared to the years before? / Struggles with your self-esteem
- How much did the issue affect your quality of life the last time you suffered from it? / Anxiety
- How much did the issue affect your quality of life the last time you suffered from it? / Depressive phase
- How much did the issue affect your quality of life the last time you suffered from it? / Feeling of loneliness / social isolation
- How much did the issue affect your quality of life the last time you suffered from it? / Mood swing
- How much did the issue affect your quality of life the last time you suffered from it? / Panic attacks
- How much did the issue affect your quality of life the last time you suffered from it? / Phases of lethargy
- How much did the issue affect your quality of life the last time you suffered from it? / Phases of sadness
- How much did the issue affect your quality of life the last time you suffered from it? / Phobias
- How much did the issue affect your quality of life the last time you suffered from it? / Stress
- How much did the issue affect your quality of life the last time you suffered from it? / Struggles with your self-esteem
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Anxiety
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Depressive phase
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Feeling of loneliness / social isolation
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Mood swing
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Panic attacks
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Phases of lethargy
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Phases of sadness
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Phobias
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Stress
- How often have you experienced the following issues in the past 12 months, no matter how long it lasted? / Struggles with your self-esteem
- Have you talked to any of the following healthcare professionals about mental health issues you have experienced in the past 12 months?
- Have you talked with any of the following people about your mental health?
- Have you done any form of psychotherapy/counselling in the past 12 months?
- What do you think triggered your mental health problems in the past?
- What measures have you taken to maintain or improve your mental health in the past 12 months?
- Which of these brands offering over-the counter products to support mental health do you know?
- And which of these brands offering over-the-counter products to support mental health have you used to treat your mental health issues in the past 12 months?
- Please rate which of the following statements apply to the brand below: Bach Rescue
- Please rate which of the following statements apply to the brand below: Braineffect Mood
- Please rate which of the following statements apply to the brand below: bright mood ahead
- Please rate which of the following statements apply to the brand below: HRI Good Mood
- Please rate which of the following statements apply to the brand below: Kalms Day
- Please rate which of the following statements apply to the brand below: KarmaMood
- Please rate which of the following statements apply to the brand below: Kira
- Please rate which of the following statements apply to the brand below: MenoMood
- Please rate which of the following statements apply to the brand below: Puressentiel
- Please rate which of the following statements apply to the brand below: RelaxHerb
- Please rate which of the following statements apply to the brand below: Tisserand
- Please rate which of the following statements apply to the brand below: Zenflore
Demographics
- What is your gender?
- Age (detailed)
- Age (generationen)
- Where do you currently live?
- Region
- Country
- Which of the following categories best describes your current employment status?
- What is the highest level of education you have completed?
- How much total combined money do all members of your household earn annually?
- What is your marital status?
- How many people – including yourself and all children – permanently live in your household?
- How many children and teenagers below 14 years of age permanently live in your household, no matter if they are your natural children or not?
- How big is the town you live in?
- In what type of community do you live?
- Community type
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