‘Questionnaire for Clinic Xay Holder - Page 7
What weans of transportation are used by people within the clinic serving
area to reach the clinic?
(Check as many as apply.)
ree eer re ens
63.
Walking
Bicycle
Motorbike
Car
Boat
Other (please specify)
64.
65.
How many persons were taken from the clinic to a hospital in che
past twelve zonrhs?
What methods of transportation area available to take 2 patient to the
nearest hospital?
66.
ee doe eee.
67.
68.
69.
What is the cose of transporting a person to the nearest hospiral?
How long do you have to wait for a means of transportation to arrive to
take someone to the hospital?
‘Minimum cime:
hours
days
Masxctmrm: ‘cime:
hours
days
Once someone is on the way to che hospital, how long does it take to gec
there?
Minimum time:
hoursss days
Maximum time:
hours
days
are there certain cimes when a patient cannot be taken to the hospital
because of weather conditions?
{ ] Yes
[ ]
No
70.
If yes, how manvr days per year?
71.
T£ yes, during what nonths of the year?