Demographic Profile
Demographic Profile
_________ 7-12 yrs _________ 13-18 yrs ________19 and above Gender:
_________Yes _________No
Direction: Our class is conducting a survey regarding the beliefs of people in using the tawatawa leaves tea as a cure\treatment for dengue fever. We would like to ask for your opinion regarding the said topic. Below are questions pertaining to the said topic. Note that there is no right and wrong answers for this questionnaire.. All answers shall be confidential. Please choose the answer that best suits you. 1. Do you use any medicine to cure or treat dengue fever? ( ) Yes 2. What kind of medicine do you use? ( ) Artificial 3. If artificial medicine, what kind? ( ) ____? 4. ( ) ___? _______ Others (Specify) ( ) Natural ( ) No
Does religion influence your decision to use/not to use any form of natural treatment for dengue fever? ( ) Yes ( ) No
5.
( ) Yes
( ) No
6.
7. Do you think that the use of natural medicine (Tawa-Tawa leaves tea) is an effective form of treating dengue fever? ( ) Yes ( ) No
8. Would you encourage/promote the use natural medicine (Tawa-Tawa leaves tea) to families and friends? ( ) Yes ( ) No