Are you aware enough?

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We are the team of students from IISER Kolkata, participating in the global genetic engineering competition, iGEM 2019. We are targeting the lethal disease, Leishmaniasis. As a part of Human Practices of the project we need to collect data about how aware people are about this disease in different parts of the country.
We request you to kindly spare a few minutes to fill this survey form. Your support will help us move towards our dream of a Leishmaniasis-free world.

Thanking you in advance for your time and support!

Your Name *

Age group *

Below 18

18- 28

28-40

Above 40

Occupation *

Student

Working

Homemaker

Other

Do you have a Biology background ? *

Yes

Maybe

Which field of study are you currently enrolled in OR what was your educational field? *

Medical (For example - MBBS, BDS, MDS, BHMS or BAMS)

Engineering ( For example - B. Tech)

Basic sciences ( For example - BSc or BS-MS)

Social sciences (For example - BA)

Commerce ( For example - B. Com or related courses)

High school

Other

Which state are you currently living in? *

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