Anti COVID-19 use Survey
Dear colleague,


We invite you to answer and share this short questionnaire with the aim of evaluating your actual "standard of care" for anti COVID therapy use in your country and your department.

This short survey will allow us to assess the different practices worldwide for participants with direct patient care.
It will take no more than 10 minutes to complete this important survey to improve COVID-19 treatment.
The direct link : https://forms.gle/XTS7urjDCydo1vSU8

Sincerely,

From
ESCMID PK/PD of Anti-Infectives Study Group (EPASG)
Sign in to Google to save your progress. Learn more
1) What level of education do you have ?
2) What is your specialty ? *
Required
3) In which country is your institution? *
If Federal country (as USA), in what state is your institution ?
4) In which city is your institution?
5) What type is your institution ? *
5) What type of department do you work in ? *
Required
7) How many beds dedicated to COVID-19 do you have in your hospital ?
8) Have you treated a patient with COVID-19 in your ward/hospital yet?
Clear selection
9) What type of state health care system ?
10) What type of patients do you take care of ? *
11) Do you agree with publication of anonymized results of this survey ? *
13) Are you involved in advice or in practice on treatment of patient in ICU? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms