| Your age |
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| Gender |
male
female |
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| Country |
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| County/State |
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Have you changed your normal routine in any way to try and avoid catching swine flu?
(pick one) |
No - I have carried on my life as normal
Yes - please specify
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Are you worried about catching swine flu?
(pick the one that best reflects your view) |
No, not at all
I am slightly concerned
I am very worried |
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If you are worried - what is your main concern?
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Have any of your local friends, family members or associates had swine flu?
(pick one) |
Yes
No |
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| Which of these symptoms, if any, would make you think you had swine flu? |
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What is the thing you are most likely to do if you think have swine flu?
(pick one) |
Book an appointment with my GP/doctor
Go to the surgery for anti-viral medication
Ring the surgery for advice
Ask for a test at the local hospital
Contact the NHS pandemic flu service (or your country's equivalent)
Don't bother anyone - simply stay off work/ school
Ring Emergency Services (eg 999 in the UK)
Go to casualty/ER
Carry on as usual
Wash my hands more frequently and possibly wear a mask
Take paracetamol and go straight to bed |
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What would you do if you came in contact with someone suspected of having swine flu?
(pick one) |
Book an appointment with my GP/doctor
Go to the surgery for anti-viral medication
Ring the surgery for advice
Ask for a test at the local hospital
Contact the NHS pandemic flu service (or your country's equivalent)
Don't bother anyone - simply stay off work/ school
Ring Emergency Services (eg 999 in the UK)
Go to casualty/ER
Carry on as usual
Wash my hands more frequently and possibly wear a mask
Take paracetamol and go straight to bed |
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If you came in contact with someone who had swine flu, and caught the disease, how long do you think it would be before you had symptoms?
(pick one) |
A few hours
Less than a day
A few days at most
Around two to seven days
Normally about three weeks
One to two months |
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Do you have any other health concerns?
(pick any that apply) |
No - I am fit and well
I have asthma
I have bronchitis or other breathing problems
I am on steroids
I am receiving chemotherapy
I am pregnant
I have heart problems
I have HIV/ AIDS
I have cystic fibrosis
I have sickle cell disease
I have kidney disease
I have a neurological conditions such as stroke, cerebral palsy, multiple sclerosis or muscular dystrophy
I have other long terms conditions - please specify
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Which of the following statements about anti-viral medicines such as Tamiflu® or Relenza® do you think are true?
(pick any that apply) |
Like a vaccine, they give long term protection against swine flu
They are a cure for swine flu
They can reduce the effects of swine flu
They are a kind of vitamin supplement
They have no known side effects
They are most effective if taken before any symptoms develop
They are most effective if taken within 48 hours of symptoms developing
They work equally well at any stage of the illness
They are particularly recommended for people with respiratory problems, heart disease or a poor immune system.
They must not be used for people with respiratory problems, heart disease or a poor immune system. |
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If you are offered swine flu vaccination, will you take it?
(pick the one that best reflects your view) |
Yes, willingly
Yes, if my doctor recommends it
Yes, if the government recommends it
No, I'll take my chances with swine flu
No, I don't need it because I had a flu jab before swine flu started
I am not sure - please specify why
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Do you think the advice about swine flu symptoms and treatments given out by your government has been clear and easy to follow?
(mark the one that best reflects your view) |
Yes - the government advice has been very clear
Yes - the government has reassured me about most things to do with swine flu
No - the government advice has not been clear
No - the government advice has been confusing |
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What do you understand about your government's current swine flu policy?
(mark the ones you understand to be true) |
All swine flu contacts are being traced and treated to try and stop the spread of swine flu
Everyone is being given swine flu vaccine to protect them against flu
Everyone is being offered anti-viral treatment if they get symptoms
Only medical at risk groups are being regularly offered anti-viral treatment
Only medical at risk groups are being regularly offered the flu vaccine
People should carry on their lives as normal
People should stay at home if they think they have swine flu
People should see their GP/doctor if they think they have swine flu
Women should avoid getting pregnant
Medical at risk groups should take care to wash their hands |
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What proportion of the people in your country do you think will probably have been exposed to swine flu by the end of 2009?
(mark the one that best reflects your opinion) |
Everyone
¾ of the population
½ of the population
¼ of the population
much the same as now |
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How many people in your country do you think will die from swine flu over the coming year?
(mark the one that best reflects your opinion) |
More than 1 million
Around half a million
Around100,000
Around 50,000
Around 10,000
Around 5,000
Around 1000
Much fewer than 1000
Much the same as now |
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How disruptive do you think the swine flu pandemic will be to the health service of your country?
(mark the one that best reflects your view) |
It is going to seriously disrupt the health service
It is going to moderately disrupt the health service
There is going to be mild disruption of the health service
There is going to be very little or no disruption of the health service |
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Any comments?
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How disruptive do you think swine flu pandemic will be to the economy of your country?
(mark the one that best reflects your view) |
It is going to seriously disrupt the economy
It is going to moderately disrupt the economy
There is going to be mild disruption of the economy
There is going to be very little or no disruption of the economy |
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Any comments?
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| If you have any problems completing the survey, please email us at webmaster@patient.co.uk. |
