Research Questionnaire
Research Questionnaire
Research Questionnaire
1. Age:
20-30
31-40
41-50
51 and above
2. Gender:
Male
Female
3. Years of experience:
0-5 years
6-10 years
4. Education Level
Diploma
Degree
Master Degree
5. Department
ICU/CCU
Medical ward
Surgical ward
Please answer ALL the following question for section B and section C. Circle the correct
answer.
SECTION B: Knowledge related to CAUTI questionnaires.
Indication for IUC
Never
indicated
Rarely
indicated
Sometimes
indicated
Almost
always
indicated
1.
2.
3.
4.
5.
6.
7.
8.
9.
No.
Preventive Measures
No
effect
Some
effect
Moderate
effect
Large
effect
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Adapted from Jain, M. (2015) and minor changes made to suit the local content.