Get Self Medication Questionnaire 2020-2025

Completing the Self Medication Questionnaire is an essential step in understanding your self-medication behaviors with antibiotics. This guide provides you with clear and supportive instructions to ensure you navigate the form effectively.

Follow the steps to complete your Self Medication Questionnaire.

1. Click the ‘Get Form’ button to access the Self Medication Questionnaire and open it in your preferred browser.
2. Begin with Part A: Self-medication behaviors. Your first question asks whether you have ever taken antibiotics. Select 'Yes' or 'No'. If you select 'No,' proceed to Part B, Question 1.
3. If you selected 'Yes' to having taken antibiotics, the next question will inquire about your self-medication. Again, choose 'Yes' or 'No'. If 'No,' proceed to Part B, Question 1.
4. Indicate how many times you self-medicated with antibiotics in the past year. Enter the number in the provided field.
5. Reflect on your reasons for self-medicating with antibiotics. Check all applicable reasons in the options provided.
6. State the complaints for which you used antibiotics. Select all that apply from the list of options.
7. Identify the basis for your selection of antibiotics. Multiple choices can be made here, so ensure you check all relevant options.
8. Consider and indicate the factors that influenced your decision when selecting antibiotics. You may select more than one option.
9. Declare where you usually obtain antibiotics for self-medication by checking the relevant sources.
10. Proceed to questions regarding your understanding and usage of dosage instructions that come with antibiotics. Respond accurately based on your experiences.
11. Address any dosage changes you made during your self-treatment and the reasons for these changes, checking all applicable reasons.
12. Answer questions about switching antibiotics and any potential concerns regarding counterfeit antibiotics.
13. Share your thoughts on self-medication practices and confidence in managing common infectious diseases through antibiotics.
14. Transition to Part B: Knowledge by answering if you understand what antibiotics are and their uses.
15. Complete the section regarding correct statements about antibiotics, marking true or false as appropriate.
16. Conclude by filling in background information, including age, gender, education, health insurance, and monthly allowance.
17. Once you have filled all sections of the Self Medication Questionnaire, review your responses for accuracy, then save changes, download, print, or share the form as necessary.

Start filling out your Self Medication Questionnaire online today to enhance your understanding of your antibiotic use.