MINT-ACITRETIN (acitretin) 10 mg and 25 mg Capsules Mint-Acitretin Voluntary Survey Question Title * 1. Have you done this survey before? Yes No OK Question Title * 2. Are you a: Dermatologist/Specialist Family Physician/General Practitioner Pharmacist Patient Other (please specify) OK Question Title * 3. Have you visited the MINT-ACITRETIN Pregnancy Prevention Program website in the past? Yes No OK Question Title * 4. When visiting this website or program, what is the usual purpose of your visit? (check all applicable answers) Get information about psoriasis Get information about MINT-ACITRETIN Download Pregnancy Prevention Program booklet Download Patient Information/ Consent Form OK Question Title * 5. For physicians, when you prescribe MINT-ACITRETIN, how often do you comply with various components of the MINT-ACITRETIN Pregnancy Prevention Program? Always As often as necessary I’d rather not say Pregnancy Prevention Program booklet Pregnancy Prevention Program booklet Always Pregnancy Prevention Program booklet As often as necessary Pregnancy Prevention Program booklet I’d rather not say Pregnancy Prevention Checklist Pregnancy Prevention Checklist Always Pregnancy Prevention Checklist As often as necessary Pregnancy Prevention Checklist I’d rather not say Patient Consent Form Patient Consent Form Always Patient Consent Form As often as necessary Patient Consent Form I’d rather not say OK Question Title * 6. Which feature(s) of the program, if any, act as a barrier to its optimal implementation? (check all applicable answers) None, the program meets my needs and/or those of my patients Clarity of acitretin prescribing responsibilities Time required to comply Presentation format of materials Testing requirements for compliance Have not used the program enough to comment Difficulty in accessing forms and other information Other (please specify) OK Question Title * 7. In your opinion, is there a need for more educational materials than what is currently available to help you in prescribing/dispensing acitretin products? Yes No If yes, please list topic(s) that will be helpful to you: OK DONE