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Hello:

You are invited to participate in our acupuncture survey. In this survey, approximately 100 people will be asked to complete a survey that asks questions about acupuncture. It will take approximately 5 minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Kate Ayoub by email at [email protected].


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


 
 

I think acupuncture is an effective form of medical treatment.
 
Strongly Disagree
 
Disagree
 
Undecided
 
Agree
 
Strongly Agree
 
 

I would consider trying acupuncture:
 
I have experienced acupuncture
 
As an alternative to my regular, traditional medicine
 
Only if I was very sick
 
I would never try it
 
 

Would you go to an acupuncturist without a referral from your doctor?
 
Yes
 
No, i would only go if a doctor referred me
 
No, I would never go
 
 

Have you ever tried acupuncture?
 
Yes
 
No
 
 

Do you know anyone who has tried acupuncture?
 
Yes
 
No
 
 

Why would you hesitate to try acupuncture?
 
I would not be hesitant
 
I worry that it would be painful
 
I don't believe that it works
 
I wouldn't be able to find an eligible doctor

 
 

How would you describe your general feelings toward acupuncture?
 
Very Positive
 
Positive
 
Undecided/Not Sure
 
Negative
 
Very Negative
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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