Please help us in our efforts to act as an advocate on your behalf by completing the following survey, which is intended for people for who have received thalidomide treatment or have had thalidomide recommended or prescribed by their physicians. 1.  Has your doctor ever recommended or prescribed thalidomide      for the treatment of your myeloma?         Yes         No 2.  Have you ever taken thalidomide to treat your myeloma?         Yes         No              If yes, what was the maximum daily dose? 3.  If you haven't taken thalidomide, why not?         4.  What is your primary health insurance?         Medicare  Other:  If other, please explain:  (Please be as specific as possible) 5.  Do you have supplemental health insurance?         Yes         No If yes, please explain:  (Please be as specific as possible) 6.  Does your insurance pay all or part of the cost of the thalidomide?         Yes         No If not, what was the reason given for denying coverage? (Please be as specific as possible) 7. If you've taken thalidomide, did the disease respond to the treatment?         Yes         No 8.  Please provide the following so that we can contact you if follow-up is necessary:  (all indvidual responses will be kept strictly confidential)        Name:     Telephone: eMail: All indiviudal responses will be kept strictly conifidential IMF Hot Line: USA and Canada only: 800.452.CURE (2873) Elsewhere: 818.487.7455 IMF International Headquarters: 12650 Riverside Drive, Suite 206 North Hollywood, CA 91607 USA Tel: 818.487.7455 Fax: 818.487.7454 E-mail: TheIMF@myeloma.org