Confidential Medication Survey
Are you currently taking medication for the treatment of LAM?
Yes
No
What form of the drug are you taking?
RAPAMUNE (PFIZER BRAND)
SIROLIMUS (GENERIC)
AFINITOR (NOVARTIS BRAND)
EVEROLIMUS (GENERIC)
Please describe your experience with the drug, either brand or generic.
Do you live in the U.S.?
Yes
No
Please provide your name and email, thereby giving us permission to contact you for more information:
First Name
Last Name
Email Address
All answers will be aggregated for reporting, and personal data will not be shared outside the LAM Foundation.
Contact Information