The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Untitled form
Send
Untitled form
Section 1 of 2
Title
Loading...
Loading...
Section 2 of 2
Question
Question Type
Loading image...
Row 1 Professor
Rows
1.
Row 1 Professor
2.
Add row
Columns
Add column
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
Option 1
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
b) Female
Other…
Add option
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a) Hospital based
d) Academic hospital based
Option 3
Option 4
Option 5
Option 6
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a) Rural
b) Semi Urban
c) Urban (Non metropolitan city)
d) Metropolitan city ( population > 20 lakhs)
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
Option 11
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
1.
Option 5 DELHI
2.
Maharashtra
3.
odisha
4.
Option 4
5.
Option 5
6.
Option 6
7.
Add option
Answer key
(0 points)
Loading...
Loading...
Title
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
c. Not sure
Option 4
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Ulcerative colitis
b. Crohn’s Disease
c. Equally seen
d. Not sure / Not seen
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
c. Not sure
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Every time
b. Sometimes
c. Occasionally
d. Never
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Every time
b. Sometimes
c. Occasionally
d. Never
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
c. Maybe
d. Do not know
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. < 1/ month
b. > 1/ month, but < 1/week
c. > 1/ week
d. Almost daily
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
d. Mostly upper
e. Mostly middle
f. Mostly lower
Option 4 Any
Other…
Add option
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Rural
b. Urban
c. Both equally
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Question
Question Type
Loading image...
a. Yes
b. No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading...
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses...
Untitled Title
IMA QUESTIONNAIRE FOR PHYSICIANS ON AWARENESS OF INFLAMMATORY BOWEL DISEASES IN INDIA
D1. What is your current position?
No responses yet for this question.
Professor Medicine
No responses yet for this question.
3. Sex:
No responses yet for this question.
4. Is your practice: