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Sample Basic Survey

Register for the BYETTA By Your Side Program

In addition to what your doctor offers, you can enroll in the free BYETTA By Your Side Program, designed to help you get started with your treatment. Join today and you may receive information to help you on your type 2 diabetes journey.

Toll-free support line

Free BYETTA Tool Kit

Other helpful tips and reminders

support line

Tool Kit

Other helpful tips
and reminders

By completing this form, you will be enrolled to receive information 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 these materials, please call 1-800-236-9933. Please visit to review our Privacy Notice.


*Indicates required field.


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

 Considering this medication?
 About to start taking this medication?
 Currently taking this medication?
 Yes, I would like to receive information in the future about all 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 BYETTA with an AstraZeneca representative.