Influenza A (H1N1)

  • Influenza A(H1N1)
  • Survey

Influenza A (H1N1) Survey

Name :
Email :
Gender : Male   Female
 
 
PICK ONE ANSWER
1. Which age group are you in?
18 years and below
18-25 year olds
26-40 year olds
40 years and above
2. Do you think that we should be more concerned about Influenza A (H1N1)?
Yes, we should be more concerned as it is a serious disease.
No, because it is just like a normal flu.
It is good to be more concerned by taking precautions so we can protect ourselves.
I don't really know.
3. Are you taking extra-precautions to protect yourself from getting infected by the Influenza A (H1N1) virus?
Yes, I am ! (Please elaborate) 
I try to, but it is inconvenient at times.
No, I did not think it is necessary.
No, because I don't think they are going to help.
 
PICK ONE ANSWER (TRUE OR FALSE)
1. Influenza A (H1N1), or H1N1 flu is an infective viral strain.
True
False
2. You can catch A (H1N1) flu through airborne droplets containing infectious flu germs.
True
False
3. If you have symptoms of Influenza-like Illness (ILI), wear a mask if you need to go out.
True
False
4. The elderly (65 years and above) and children below 5 years old are the people most vulnerable to complications from H1N1.
True
False
5. Frequent overseas travellers are vulnerable of getting H1N1.
True
False
6. Fever (over 38°C), Cough & Sore throat are the symptoms of Influenza-like Illness (ILI).
True
False
 
TELL US WHAT YOU THINK
1. Have you found the recent A(H1N1) awareness campaigns and advice:
Easy to understand                   Yes   No   I don't know
Easy to remember                    Yes   No   I don't know
Easy to practice                       Yes   No   I don't know
2. What sort of information do you think would be useful to you about H1N1.
3. Other than Website, which other medium that you used to get the information on H1N1?
Newspapers
MOH website
Radio
TV
Others  
 
POLL (Yes/No):
1. Do you think Malaysian public are doing enough to stop the spread of the Influenza A (H1N1) virus?
Yes
No
2. Do you think that the Influenza A (H1N1) is still a threat to public health?
Yes
No
3. Do you think that the public is well informed about the disease?
Yes
No

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