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Medical Background Survey on Mental and Chronic Illness

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

How familiar are you with mental illnesses?

Please rate your familiarity with mental illnesses.
2

Have you been diagnosed with a chronic illness?

Please select the option that best describes your situation.
3

What is your understanding of the relationship between mental health and chronic illness?

Please provide your insights or experiences.
4

Do you believe mental health is as important as physical health?

Please select the option that reflects your opinion.
5

How often do you seek medical help for mental health concerns?

Please select the frequency of seeking help.
6

On a scale of 1 to 10, how challenging is it to manage chronic illness on a daily basis?

Please select a rating based on your experience.
7

What resources do you rely on for information related to mental health?

Please select all that apply to you.
8

Have you ever faced stigma or discrimination due to your mental or chronic illness?

Please select the option that corresponds to your experience.
9

In your opinion, what improvements are needed in healthcare services for mental and chronic illnesses?

Please provide your suggestions or ideas.
10

How well do you think society understands the challenges of living with mental and chronic illnesses?

Please select the option that resonates with your perception.
11

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Select one answer in each row