Questionnaira for Clinic Kay Holder - Page 2
8.
_Years of aducation.
9.‘Years of medical training or Health training.
10.
Highest degree or certificata obdqained in
medical field.
ll.
|
Place of medical training.
12.
_Years of experience in health work.
13.
How well would this person cooperate with clinic workers?
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{ ]
{ ]
14.
Good
Fair
Poor
How well is this person accepced by the people?
{ ]
{ ]
{ ]
Gaod
Fair
Poor
OTHER HEALTH WORKERS
PERSON #2
1s.
16.
Primary occupation.
Does this person work in the clinic?
( ]
{ ]
Yes
Wo
17.
Hours per week spent in clinic work.
18.
age