Sources and Prices of Selected Medicines and Diagnostics for People Living with HIV/AIDS: ANNEX 4. Untangling the web of price reductions: a pricing guide for the purchase of ARVs for developing countries.: Feedback and enquiry form

Sources and Prices of Selected Medicines and Diagnostics for People Living with HIV/AIDS
(2004; 134 pages)

Table des matières

Feedback and enquiry form

Please fill out this form and fax it to UNICEF Supply Division +45 35 26 94 21, e-mail: supply@unicef.org, or post it to: UNICEF SD, Pharmaceutical and Micronutrient Group – HIV/AIDS Survey, Freeport DK-2100 Copenhagen Ø, Denmark

1. GENERAL INFORMATION

Your name
Occupation
Company name/Organization name
Address
Telephone	Fax
Email (required)
Internet address

2. FEEDBACK

What did you think of the publication in general?

Excellent, very useful	Good, quite useful	Satisfactory, reasonably useful
Poor, not useful - please indicate why: ____________________________

What did you think of the medicines included in the publication?

Good selection of medicines
More medicines required, for example: ____________________________
Fewer medicines required, remove: _______________________________

What did you think of the pricing information?

Good, enough information on the prices of drugs of interest
Poor, not enough information

Have you contacted any of the manufacturers listed?

Yes No

Other comments:
______________________________________________________________
______________________________________________________________

3. ENQUIRY

I would like to participate in the next Survey (Manufacturing companies only)
I would like to receive more copies of the Publication

Other enquiry:
______________________________________________________________