Health questionnaire

1, your gender (b)

A: Male B: Female

2. Your age (a)

A: below 20 b: 20-30 c: 30-40 d: 40-50 e: above 50

3. Your family situation (D)

A: Single B: Family of two C: Family of three D: More than four people.

4. Do you have any common medicines with you?

A: Yes. B: No.

5. Is there a medicine box or a medicine box (A) for medicine?

A: Yes. B: No.

6. Who bought your medicine cabinet? (1)

A: Yourself B: Parents C: Children D: Gifts from friends.

7. What do you think is the main function of the medicine cabinet at home (1)

A: Prevention and treatment of common diseases B: Long-term medication of chronic diseases C: Emergency treatment of traumatic injuries

8. Where do you keep your medicine box or medicine box? (2)

A: carry it with you or put it in your bag. B: In the cupboard. C: In the drawer. D: In a conspicuous place. E: Other _ _ _ _ _ _

9. What is the material of your medicine box or medicine box? (1)

A: plastic b: wood c: alloy d: cloth e: leather

10. What color medicine box or medicine box do you like? (1)

A: white b: blue c: green d: red e: yellow f: other _ _ _ _ _ _

1 1. Which of the following ways do you prefer to carry medicine boxes or medicine boxes? (5)

A: Portable B: Strap C: Pendant D: Portable E: Put it somewhere.

12. What kind of medicine box or medicine box do you prefer? (5)

A: drawer-type B multi-layer detachable C single-layer partition D single-layer non-partition E: multi-layer partition

13. What shape of medicine box or medicine box do you like? (3)

A: cuboid b: cylinder c: handbag shape d: other _ _ _ _ _ _ _

14. Which of the following shapes do you like? (3)

A: cartoon interest B: elegance C: simplicity D: fashion

15. Where do you buy medicine boxes or medicine boxes? (1)

A: supermarket b: drugstore c: grocery store d: other _ _ _ _ _ _ _

16. What's your price? (2)

A: Under 20 yuan B: 20-50 yuan C: 50-70 yuan D: 70- 100 yuan E: 100 yuan or more.

F: As long as it meets the requirements and the price is right.

17, how many kinds of medicines (D) do you have at home?

Under category a:3, B: 3 to 5, C: 5 to 10, D: 10 or above.

18. What medicine is in your medicine cabinet or medicine cabinet? (Multiple selections allowed) (ABCDEF)

A cold class B anti-inflammatory class C analgesic class D antiemetic and antidiarrheal class E topical class (such as iodine and Yunnan Baiyao) F topical auxiliary class (such as gauze and band-aid) G other _ _ _ _ _ _ _ _

19. How do you put the medicine in the medicine cabinet or medicine cabinet? (2)

A: Feel free to put it. B: by drug classification. C: placed by family members. D: according to the times of administration. E: Place the medicines according to their outer packaging (boxes, bottles, bags, etc.). ).

20. How often do you clean the medicine cabinet? (4)

A: 3-6 months B: 1 year C: 2, 3 years D: Sometimes I think E: No need to clean up.

2 1. Where did you put the drug instructions? (4)

A: Throw it away. B: Open it with the medicine (in the same place). C: Open it with the medicine (not in the same place). D: Put it with the medicine.

22. Do you know the medication history of yourself or your family? (2)

A: I don't know. Generally speaking. C: I know.

23. Are you worried that you can't find a cup or water when taking medicine? (2)

No. B: occasionally. C: Often.

24. Are you satisfied with the existing medicine cabinet at home (B)

A: Satisfied B: Not satisfied.

25: If you are not satisfied, what do you think needs to be improved in the medicine cabinet at home? Layering is more reasonable and easy to find.