XIAFLEX® REMS Patient Survey

XIAFLEX® Patient Survey


You are being invited to participate in a survey for patients who have received XIAFLEX® (collagenase clostridium histolyticum) for the treatment of Peyronie’s disease. Results from the survey remain confidential by BioTrak Research Inc. This is a voluntary survey that is strictly confidential. Participants who qualify and complete the entire survey will be paid $45 for their time. All payments are processed within 4-6 weeks.

Please ensure that you can devote 10 minutes to complete this survey before beginning.
You cannot leave the survey and return to complete it at a later time.

If you have a survey code, please click here.

BioTrak Research Inc. (BioTrak) reviews individual survey responses for the purposes of quality control and ethics of participation. If it is determined that any respondent has quickly “clicked through” the survey based upon survey times and responses, or an imposter has completed the survey, such survey completions may be disqualified and thusly not compensated at the sole discretion of BioTrak.
To ensure your privacy:
  • Your healthcare provider will not be notified of your participation or your survey results.
  • Taking part in this survey will not effect on your ability to receive your medication.
  • The survey asks questions about the materials that you may have received with your medicine.
  • Your answers to the survey questions will be combined with answers given by others.
For questions or assistance please contact BioTrak Research Inc. at 877-248-8657 or ewelty@biotrak.com.