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Question Type
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a) Consultant physician ( < 3 years of practice)
b) Senior consultant physician ( > 3 years of practice)
d) Gastroenterologist
e) Other specialities
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a) Male
b) Female
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a) Hospital based
b) Individual practice
c) Group practice
d) Academic hospital based
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Question
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a) Rural
b) Semi Urban
c) Urban (Non metropolitan city)
d) Metropolitan city ( population > 20 lakhs)
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Title
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Question
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a. Yes
b. No
c. Not sure
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a. Ulcerative colitis
b. Crohn’s Disease
c. Equally seen
d. Not sure / Not seen
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a. Yes
b. No
c. Not sure
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Question
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a. Every time
b. Sometimes
c. Occasionally
d. Never
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Question
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a. Every time
b. Sometimes
c. Occasionally
d. Never
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a. Yes
b. No
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a. Yes
b. No
c. Maybe
d. Do not know
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Question
Question Type
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a. < 1/ month
b. > 1/ month, but < 1/week
c. > 1/ week
d. Almost daily
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d. Mostly upper
e. Mostly middle
f. Mostly lower
Option 4 Any
Other…
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a. Rural
b. Urban
c. Both equally
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a. Yes
b. No
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a. Yes
b. No
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Insights
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1. What is your current position?
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2 Age (in years)
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3. Sex:
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4. Is your practice:
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