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APPENDIX 2:QUESTIONNAIRE

The use of Herbal Medicine among STDs patients in Kuwadzana 2

Survey Information

1.Location and Date

2.Respondent’s ID

3.Date Of Completion Of Questionnaire

5.Consent Interview Language and Name

6.Consent has been read out toparticipant

Demographic information

7.Sex (RecordMale/Female as observed) Male Female

8.Age/Date of birth

9.What is your religion? Christianity Traditionalist Other

None

10.What is your current level ofeducation? Primary secondary Tertiary

Vocational

11.What is your marital status? Single Married Separated

Widowed

12.Income (monthly) Unemployed ZWL$10 000-40 000

ZWL$40 000-60 000 ZWL$60 000-90000

OVER ZWL$100 000

13.Do you know about complications of STDs Yes No

Knowledge and attitude towards Herbal Medicine use by the respondent

14 Do you use Herbal Medicine?

15.What is the source of HerbalMedicine?

16.Do you use more than one type ofHerbal Medicine ?

17.Prefer Herbal Medicine to orthodoxmedicine ?


18.Have you ever shown any side effectsto Herbal Medicine?

19.Aware of side effects of HerbalMedicine?

20.Think that Herbal Medicine can cure STDs?

21.Rating of effectiveness of HerbalMedicine.

22.Source of information on HerbalMedicine

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