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Quantitative Tool (PATIENT)
Quantitative Tool (PATIENT)
Respondent's Profile Put a check mark in the box to which your profile applies.
Name: (optional)
1.1 Age
1.2 Gender
1.4 Length of hospital stay < (less than) 24 hours > (more than) 24 hours
Male Female
2. Effectiveness of colorful mask in preventing communicable diseases (CD) COLORFUL MASK PATIENTS PERSONAL PROTECTIVE EQUIPMENT (PPE) Place a check mark on the box that corresponds to your of level agreement.
Agree Disagree Colorful mask protects me from airborne/dropletdisease Colorful mask is cheap Colorful mask is accessible Colorful mask is convenient to use Colorful mask is comfortable & fun to wear I choose mask that has the right fit I wear colorful mask everytime I'm in a CD area I select mask depending on the infectious (CD) risk Colorful mask bring greater compliance in preventing CD especially airborne/dropletdisease I would recommend the use of colorful mask to my relatives and friends to prevent CD
3. The materials used in your preferred colorful mask Disposable (Colorful Mask) Spray cloth Polymer cloth Synthetic rubber others: Reusable (Colorful Mask) Cotton cloth Nylon cloth Semi-Cotton Semi-Nylon others: