Questionnaire on Awareness and Usage Habits of Rational Antibiotic Use

I. Basic Information

1. What is your age range?

A. Under 18

B. 18-30

C. 31-50

D. 51 and above

2. What is your educational background?

A. Junior high school or below

B. Senior high school/Technical secondary school

C. Junior college/Bachelor's degree

D. Master's degree or above

3. Where do you mainly go for medical treatment or medication purchase?

A. Community hospital/clinic

B. Secondary/tertiary hospital

C. Retail pharmacy

D. Online medical platform

4. Do you or your immediate family members have a medical or pharmaceutical background?

A. Yes, I am engaged in it

B. Yes, a family member is engaged in it

C. No

II. Awareness of Antibiotics

1. Do you know which type of diseases antibiotics mainly treat?

A. Bacterial infections (e.g., pneumonia, suppurative tonsillitis)

B. Viral infections (e.g., common cold, influenza) can also be treated with them

C. Mainly used for reducing fever and relieving pain

D. Not clear

2. It is often said that "excessive use of antibiotics leads to drug resistance". Do you understand what this means?

A. Bacteria develop resistance, making the drug less effective or ineffective

B. The human body develops tolerance to the drug, requiring an increased dose

C. The drug becomes ineffective

D. Have never heard of it

3. Which of the following situations do you think is most likely to require the use of antibiotics?

A. Common cold with clear nasal discharge

B. Cough with yellow thick phlegm and pus spots in the throat

C. Non-infectious mild diarrhea

D. Not clear

4. Can you identify which of the following are antibiotics?(Select all that apply)【多选题】

5. Which of the following statements do you think are correct?(Select all that apply)【多选题】

A. Taking antibiotics immediately when having a cold and fever makes recovery faster

B. Antibiotics can be stopped when symptoms improve, and the remaining drugs can be kept for later use

C. Abuse of antibiotics may lead to no available drugs in the future

D. None of the above

III. Antibiotic Usage Behavior

1. Have you used antibiotics in the past year?

A. 0 times

B. 1-2 times

C. 3-5 times

D. 6 times or more

2. How did you obtain the antibiotics you took last time?

A. Purchased with a doctor's prescription

B. Purchased directly from a pharmacy (without a prescription)

C. Spare from the family medicine cabinet

D. Shared by relatives and friends

3. When taking antibiotics, if you forget to take a dose, what do you usually do?

A. Take the missed dose immediately when you remember, and postpone the next dose time

B. Take the missed dose immediately when you remember, and take the next dose at the original time

C. Skip the missed dose directly and wait for the next regular dose

D. Hardly ever forget

4. After the doctor prescribes a course of antibiotics (e.g., 5 days), how do you usually take them?

A. Strictly follow the doctor's advice and finish the entire course

B. Stop taking immediately when symptoms improve

C. Take for another one or two days as appropriate after symptoms improve

D. Take on and off depending on the situation

5. When mild symptoms such as sore throat and cough occur, what do you do first?

A. Immediately take antibiotics by yourself

B. First take cold medicine/cough medicine, and consider antibiotics if ineffective

C. Consult a doctor or pharmacist

D. Rest more, drink more water, and observe the situation

6. Do you actively ask the doctor to prescribe antibiotics for you?

A. Often

B. Occasionally

C. Never

D. Buy by yourself if the doctor refuses to prescribe

7. What was the main symptom for which you used antibiotics last time?(Select all that apply)【多选题】

A. Common cold with clear nasal discharge (without obvious signs of bacterial infection)

B. Fever accompanied by cough and yellow-green thick phlegm

C. Severe sore throat with pus spots on the tonsils found during examination

D. Severe diarrhea, especially with bloody and purulent stools

E. Redness, swelling and pus discharge of skin wounds

F. Others

8. Have you ever had any of the following behaviors?(Select all that apply)【多选题】

A. Bought and took antibiotics by yourself after catching a cold

B. Gave the unused antibiotics to others

C. Thought that more expensive antibiotics are more effective and actively asked to use them

D. Took antibiotics in advance to prevent infection

E. None of the above

9. If symptoms do not improve 2-3 days after taking antibiotics, what will you do?

A. Immediately switch to another antibiotic

B. Increase the dose by yourself

C. Stop taking and see a doctor

D. Continue to finish the remaining course

E. Consult a pharmacist

IV. Attitudes and Suggestions

1. If the doctor clearly diagnoses that "your condition does not require the use of antibiotics", what will you do?

A. Follow the doctor's advice

B. Doubt and seek a second opinion

C. Buy and take by yourself

D. Try a small dose

2. How harmful do you think "abuse of antibiotics" is to individuals and society?

A. Extremely harmful, may lead to the emergence of superbugs

B. Somewhat harmful, but the problem is not serious

C. Basically no harm

D. Not clear

3. Which measures do you think can effectively reduce the abuse of antibiotics?(Select all that apply)【多选题】

A. Strictly implement prescription drug management, no sales without a prescription

B. Strengthen doctor training and standardize clinical medication

C. Increase the intensity of public science popularization and education

D. Incorporate rational drug use knowledge into school education

E. Not clear

4. Through which channels do you hope to obtain rational drug use knowledge?(Select all that apply)【多选题】

A. Hospital/pharmacy brochures

B. Short videos/WeChat official account popular science

C. Community health lectures

D. Detailed explanation by doctors during consultation

E. No specific needs

Open-ended Questions: Regarding antibiotic use, we would like to know your true thoughts

What is your biggest confusion or worry when using antibiotics by yourself?

What do you think is the biggest obstacle to preventing people from using antibiotics correctly?

Anything else you want to say?