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Exit Survey
 
 
How old are you?
   
 
 
 
Do you knows Disease?
 
Yes
 
No
 
 
 
Knows Symptoms?
 
Yes
 
No
 
 
 
Nnows Complications?
 
Yes
 
NO
 
 
 
Do you follow Up?
 
Frequently
 
Sometimes
 
Never
 
 
 
Follow up Average?
   
 
 
 
Family Medicine Clinic?
 
Yes
 
No
 
 
 
Knows Reason of Medication?
 
Yes
 
No
 
 
 
Knows how to use Medication?
 
Yes
 
No
 
 
 
Knows the Dose?
 
Yes
 
No