11.07.2015 Views

Evaluation Of The Provision Of Single Use Citric Acid Sachets To ...

Evaluation Of The Provision Of Single Use Citric Acid Sachets To ...

Evaluation Of The Provision Of Single Use Citric Acid Sachets To ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

US ING THE C ITRIC AC ID S ACHETS22. Do you add anything to your drugs to help them dissolve before you inject?Yes No If No, please g o t o Question 44.23. In the last 3 months, what dissolver have you used most often to help your drugsdissolve? (Do not read out the list of options. Tick one box only.)Processed lemon juiceFresh lemon juiceSte rilising crysta lsVinega rAscorbic acidKettle-descaler<strong>Citric</strong> acid – from the exchange <strong>Citric</strong> acid – not from the exchangeOther (Please specify) ________________24. Why do you use this particular product to dissolve your drugs? (Do not read out thelist of options. Tick all that apply. Prompt with “any other reason?”)Dissolves drug easily Free/Low cost Readily availableEasy to use Safe to use O ther (Please specify) __________25. In the last 3 months, have you used any other products to dissolve your drugs?Yes NoIf Yes, what dissolver(s) have you used? (Do not read out the list of options. Tick allthat apply. Prompt with “anything else?”)Processed lemon juiceFresh lemon juiceSte rilising crysta lsVinega rAscorbic acidKettle-descaler<strong>Citric</strong> acid – from the exchange <strong>Citric</strong> acid – not from the exchangeOther (Please specify) ________________26. Have you ever used any of the following products to dissolve your drugs? (Tick allthat apply.)Processed lemon juiceFresh lemon juiceSte rilising crysta lsVinega rAscorbic acidKettle-descaler<strong>Citric</strong> acid – from the exchange <strong>Citric</strong> acid – not from the exchangeOther (Please specify) ________________27. Have you ever experienced any of the following problems with your eyes afterinjecting? If you have, what dissolver(s) were you using at the time? (Tick all thatapply.)Yes No Dissolver usedConjunctivitis 1 2 3 4 5 6 7 8 9 Don’t knowSore e yes 1 2 3 4 5 6 7 8 9 Don’t knowBlindness 1 2 3 4 5 6 7 8 9 Don’t knowBlurred vision 1 2 3 4 5 6 7 8 9 Don’t knowSevere headaches 1 2 3 4 5 6 7 8 9 Don’t knowCataracts 1 2 3 4 5 6 7 8 9 Don’t knowO the r 1 2 3 4 5 6 7 8 9 Don’t know(Please specify) _______________________

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!