- Questionnaire for Clinic Kay Holder - Page 6
in
in
Number of accidents or fractures ver veek
56.
Number of chronic problams (arthritis pain, etc.)
37.
Number of other preblems (please specify)
58.
How many times during the year de you have a madi Tt emergency
which you cammot take care of here?
39.
Are you able to make radio contact for medical consultacion in the event
of a medical emergency?
(C 1]
Yes ~—m-a——}
How long does ic usually taka before you dre talxing to
{ ]
Yo
Why not?
-—————>
a paysician?
{ ]
( ]
( ]
60.
hours
Lack ef reliable radio contact
J
Lack of available physician to conca
Other (please. specify)
Describe radio coummmication system:
{ ]
{ ]
( ]
Nome in clinic serving area
Twoeway radio ae clinic
Tweeway radio ac other location -———>
(please specify Lecation)
(please specify distance from clinic in kilometcars)
6l.
Can the two-way radio contact Majuro or Ebeyi on 4 regular basis?
{]
{ ]
§2.
Yes
No
Are home visits conducted by clinic staff?
{ ]
[ ]
Yas -——»>
No
How zany times ver month?