Community Antibiotic Knowledge
Below is a short questionnaire, created by Collective Prevention Services, about your knowledge and use of antibiotics. If you have previously accessed this survey through another platform (e.g., SZV website, government Facebook page, or government website), you do not need to take the questionnaire again.
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Please fill in the date of submission (mm/dd/yy) *
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Gender *
Age *
Highest education level completed *
What is your current employment status *
Who is your health insurance provider *
Have you heard of the following terms (select all that apply) *
Required
To the best of your ability, please describe what antibiotics are used for *
Which of the following can be treated with antibiotics *
Required
Can antibiotics be used to cure infections by a virus *
Antibiotics should be attainable without prescription. Agree or disagree? *
Antibiotics need to be used according to how your doctor prescribed them. Agree or disagree? *
Do you think vaccination can help reduce the use of antibiotics *
When did you last use antibiotics *
How often do you miss taking antibiotic pills on a weekly basis *
How often do you finish an entire box of antibiotics prescribed to you *
How do you obtain your antibiotics (select all that apply) *
Required
Have you ever used a friend's or family member's antibiotics? *
Does you pharmacist advise you about how to take your antibiotics *
Have you ever specifically requested antibiotics from your doctor when you were ill *
Have you seen any posters, brochures, etc. related to antimicrobial resistance at your doctor's office or pharmacy *
Do you think there should be more information on this topic *
What is the best way to promote this in the community *
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