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Sample Basic Survey

Whether you are considering treatment or you are already on XIGDUO (zig-DOO-oh) XR, we're here to help. Just fill out the form below and we'll send you important information as it becomes available that may help you throughout your journey.

It's FREE, so sign up today or call us toll-free at 1-855-XIGDUO2 (1-855-944-3862).

By completing the registration, you may also receive ongoing information and support related to your condition, including treatment information.

AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. If, in the future, you no longer want to receive health-related materials, call 1-800-236-9933. Please visit www.azprivacynotice.com to review our Privacy Notice.

Register

*Indicates required field.

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By providing your date of birth, you verify
that you are at least 18 years of age.

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 Considering this medication?
 About to start taking this medication?
 Currently taking this medication?
 
 
 Yes, I would also like to receive information in the future about relevant AstraZeneca products, programs, and services that may be of interest to me.
 Yes, I would be willing to be contacted on occasion to participate in market research studies sponsored by AstraZeneca.
 Yes, I would be willing to share my experience as a patient taking XIGDUO XR with an AstraZeneca representative.