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Surveys
2017
February
E
EBM-Physicians
EBM-Physicians
0%
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
How old are you?
21-30 years
31-40 years
41-50 years
51-60 years
61-70 years
Older than 70 years
what is your gender?
Male
Female
What is the field of your work?
Family Medicine and General Practice
Main clinical Specialty (General Medicine, General Surgery, General Pediatrics, Gynecology etc.
Clinical Sub Specialty (e.g. neurosurgery, Pediatic Endocrinology etc.)
Public Health Community Medicine
Specialized Areas: Occupational, Police, Military, School Health etc.
Do you have Internet access? Yes O No O
Consistently - Readily available every day
Inconsistent - Interrupted in certain places or certain dates.
Occasionally - Interrupted in more places and most occasions
Not available
How often do you conduct surveys?
In which of the following locations have access to the
Internet?
Home O Clinic O Library O Other O
If you use the Internet for clinical evidence, what sites
do you use?
Medline O Specific sites O Other O
How often do you conduct surveys?
In which of the following locations have access to the
Internet?
Home O Clinic O Library O Other O
If you use the Internet for clinical evidence, what sites
do you use?
Medline O Specific sites O Other O
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