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Name
   
 
 
 
Age
 
Between 20 to 30
 
Between 30 to 40
 
Above 40
 
 
 
Do you prefer OTC drugs over prescribe drugs ?
 
Yes
 
No
 
 
 
How often do you use OTC drugs ?
 
Once a month
 
Twice a month
 
Thrice a month
 
None of the above
 
 
 
Do you get relief after using OTC drugs ?
 
Yes
 
No
 
 
 
How do you prefer OTC drugs ?
 
By Chemist
 
By Self
 
 
 
How often do you visit a Doctor ?
 
Once a month
 
Twice a month
 
Thrice a month
 
None of the above
 
 
 
Which form of medication gives you more relief ?
 
 
How satisfied are you with the following:
Dissatisfied Neutral Satisfied
OTC Drugs
Prescribed Drugs
 
 
 
In which conditions do you prefer OTC drugs ?
 
Pain
 
Fever
 
Injuries
 
Cold and Cough