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QUESTIONNAIRE ON TUBERCULOSIS OUTBREAK
Department of Biological Sciences,
College of Natural and Applied Sciences,
Fountain University, Osogbo
...
LETTER OF INTRODUCTION
Dear Respondent,
I am an undergraduate student of Fountain University from college of natural and applied sciences,
microbiology, presently conducting research on tuberculosis outbreak
...
Tuberculosis can be spread from person to person through air
...
This disease can spread faster than we think
since mode of transmission is through airborne especially when there is lack of ventilation
...
This questionnaire is designed to make a survey on the current outbreak of tuberculosis, a deadly
disease
...
Your cooperation and time is highly
needed
...
I therefore, urge you to provide relevant
and sincere information for the benefit of all
...
‘’THANK YOU’’
Yours sincerely,
Abdulmumin, Rahmah Ibrahim
Signed
08075625234
SECTION A: DEMOGRAPHIC INFORMATION
Instructions: please tick or specify the most appropriate answer
1
...
Gender: Female
3
...
Resident: Urban
Male
Married
Rural
Urban-rural
5
...
6
...
7
...
Do you have any knowledge about tuberculosis: Yes
No
If NO skip question 9-22 and go to question 23
9
...
An infectious disease caused by Mycobacterium tuberculosis
b
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Deadly and biggest killer globally
d
...
Incurable disease
10
...
Which of this way would you say tuberculosis can be contacted/spread (tick as many box as
possible)
a
...
c
...
Airborne
Sexual intercourse
Shaking hands
Other specify please
...
Which of this do you think is a symptom of TB (tick as many box as possible)
a
...
c
...
e
...
Who are the risk factors people for Tuberculosis
a
...
Diabetic patient
c
...
Hard drug illicit
14
...
Have you been coughing lately: Yes
No
Other symptoms specify
If NO, skip Question 16-22 and go to Question 23
16
...
Are you a mycobacteriological laboratory technician: Yes
18
...
Has anyone been coughing before you start coughing; Yes
No
No
No
20
...
21
...
22
...
Are you a/an
...
HIV patient
b
...
Others specify please
...
Have you ever been to the hospital for TB check up: Yes
25
...
If your status is positive, are you on any prescribed medications: Yes
please
...
Would you like to make any additional comments