Understanding diarrhoea treatment journey amongst Malaysians
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Name

 
Email

 
Mobile number

 
I am: *

Gender


 
My age: *


 
My Child/ children age: *

(You can choose more than 1 answer)

 
Household income: *


 
When my child has diarrhoea, the first thing i do is ____________ *


 
When my child has diarrhoea, the first thing i do is _(respond No 5)_ because __________ *


 
When my child has diarrhoea, I will seek treatment in a _______________ *


 
When my child has diarrhoea, I will only send my child to a doctor when there is *

(You can choose more than 1 answer)

 
When I have diarrhoea, the first thing I do is __________ *


 
When I have diarrhoea, I will seek treatment in a _________ *


 
When I have diarrhoea, I will seek treatment in a _(respond No 10)_ because ___________ *


 
When I have diarrhoea, I will only see a doctor when there is *

(You can choose more than 1 answer)

 
Thank you for taking time to complete this survey. For more information on diarrhea, please visit www.smecta.com.my *

Upon participation in this survey, you are deemed to have read and agreed to the following terms and conditions:  Please note that your contact details are required for prize redemption. We are committed to protecting your privacy. Authorized employees within the company on a need to know basis only use any information collected from individual customers · There is no cash alternative to the stated prizes, and the prizes are non-transferable and non-refundable · Copyrighted, obscene, provocative or otherwise questionable content will not be considered. 
The Company retains sole discretion as to what constitutes inappropriate content · The Company’s decision is final, by first come first serve basis, will be notified by email after the Survey Period
     
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