Rate Your Medicine: CARBOCAINE W/ NEO-COBEFRIN

If you have taken CARBOCAINE W/ NEO-COBEFRIN, did it work? Please take a minute to rate it on a scale of 1 - 5. The only required item in the form is the satisfaction score, but please complete as much as possible to help other patients learn from your experience.

Please rate your satisfaction with CARBOCAINE W/ NEO-COBEFRIN:
5-Very Satisfied - this medicine cured me or helped me a great deal
 4-Satisfied - this medicine helped
3-Somewhat Satisfied - this medicine helped somewhat
2-Not satisfied - this medicine did not work to my satisfaction
1-Dissatisfied - I would not recommend taking this medicine

Why were you taking CARBOCAINE W/ NEO-COBEFRIN ?

Dosage Amount (such as 30 MG):
Frequency: Times per

Length of time taking drug? (use "comments" for other time length)

Briefly describe any side effects you experienced:

Additional Comments about CARBOCAINE W/ NEO-COBEFRIN :

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