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Medication Errors

Medication ErrorsWere you ever given the wrong drug or wrong dosage? Did your doctor fail to inform you about side effects?

(Your personal information will remain completely confidential unless you give us permission to use or share it below.)

Please answer the following questions to the best of your ability, with respect to either your own experience or the experience of your loved one who had a bad side affect or was harmed by a medication error. Questions marked with an "*" must be answered, while other questions are optional. Thanks for taking the time to do this. Your personal experience can really help us in our work to reduce medication errors in the future!


  1. Please categorize the type of medical error you experienced (you may
    choose more than one):



  2. In what setting did the error occur:





  3. (Maximum response 255 chars, approx. 5 rows of text)
  4. What was the result of the medication error:











  5. Sharing your story helps Consumers Union of U.S., Inc. and Consumers Union Action Fund, Inc.[1] ("we" or "us") to learn more about what is happening to real people. We use this information to explain consumer problems to policymakers, the media, and the public. When you give us your story, you agree that we may use, share, and make public your story, using only your first name, city and state. We will not share or make public your last name, address, phone number, or email address unless we contact you and gain your permission to do so.








This is not a scientific survey.

[1] Consumers Union Action Fund, Inc. ("CU Action Fund") is a 501(c)(4) nonprofit consumer advocacy organization. CU Action Fund is affiliated with Consumers Union of United States, Inc. ("CU"), a 501(c)(3) nonprofit testing and information organization serving consumers. CU Action Fund's purpose is to educate the public regarding consumer rights and consumer safety issues and to advocate policies, legislation and regulation that ensure a fair and safe marketplace for consumers, among other advocacy activities. CU Action Fund engages in (1) nonpartisan voter education activity; (2) increased lobbying activity to pass legislation in states and in Congress; (3) work on consumer oriented ballot measures; and (4) to a greater extent than CU, in member education about elections. If you would like to learn more about CU Action Fund, visit www.cuactionfund.org.