COLLEGE OF PHARMACY

3/F St. Therese Bldg.

900 San Marcelino St.
1000 Ermita, Manila
Tel. No.: (02) 521-2621
(02) 524-2011 local 390

“Knowledge, Attitude and Practices on the Use of Antimicrobials among Residents in

Towerville Phase 5, Barangay Minuyan, San Jose Del Monte, Bulacan, Philippines.”

Disclaimer: This survey questionnaire is utilized to determine the knowledge, attitude and
practices on the use of antimicrobials among residents in Towerville Phase 5, Barangay Minuyan,
San Jose Del Monte, Bulacan, Philippines. Participation in this survey is completely voluntary and
anonymous. You may choose to discontinue this survey at any time. No harm will befall to anyone
of the participants.

Name (optional):

Part I. DEMOGRAPHIC PROFILE

Educational Attainment: Age:  18-25
 Some Elementary  26-35
 Elementary Graduate  36-45
 Some Highschool  > 45
 Highschool Graduate
 Some College Gender:  Female
 College Graduate  Male

Financial income (annually): Number of household members:

 Below Php 40, 000 1-2
 Php 40,000 – Php 59,999  3-4
 Php 60,000 – Php 99,999  4-5
 Php 100,000 – Php 249,999  more than 5
 Php 250,000 and above

INSTRUCTIONS: Mark the item with a check  that corresponds to your answer. Provide the best
and honest answer.

Part II. KNOWLEDGE ON ANTIBIOTICS

YES NO
1. Antibiotics can treat bacterial infection such as pneumonia
2. Different antibiotics are needed to cure different disease
3. If taken too often, antibiotics are less likely to work in the future.
4. Antibiotics can prevent any illnesses from becoming worse.
5. An antibiotic will always be effective in the treatment of the same
infection in the future.
 COLLEGE OF PHARMACY
3/F St. Therese Bldg.
900 San Marcelino St.
1000 Ermita, Manila
Tel. No.: (02) 521-2621
(02) 524-2011 local 390

6. The more expensive the antibiotic is; the more effective and the
more potent it is.
7. Antibiotics can treat viral infection, such as common cold.
8. Antibiotics are over-the-counter medicines.
9. Antibiotics are indicated to reduce pain and inflammation

1. What is your own perception of antibiotic? Check more than one if applicable.
 First choice of treatment
 Strong drug
 Dangerous drug or toxic drug
 Can cure any disease
 Anti-pain
 For cough, colds and sore throat
 Others, please specify. _____________

Part II. ATTITUDE TOWARDS ANTIBIOTICS

YES NO
1. A course of antibiotic should always be completed.
2. Antibiotics will speed up the recovery of my cough and colds.
3. Antibiotics should be only used when they are prescribed by the
physician.
4. I usually read the instructions label of the antibiotics.
5. I can use an antibiotic that was prescribed to me for a previous
illness, if I develop similar symptoms any time later without seeking
medical advice.
6. I prefer to be able to buy antibiotics from the pharmacy without a
prescription.
7. When I get sick, my first choice of treatment is antibiotic.
8. Antibiotics must be taken as soon as we have fever.

1. On which factor/s is your selection of antibiotic based on? Check more than one if
applicable.
 Pharmacist’s recommendation
 Doctor’s prescription
 Previous doctor’s prescription
 Family member’s recommendation
 Friend’s/neighbor’s recommendation
 Own experience
 Others, please specify. ______________
 COLLEGE OF PHARMACY
3/F St. Therese Bldg.
900 San Marcelino St.
1000 Ermita, Manila
Tel. No.: (02) 521-2621
(02) 524-2011 local 390

2. What do you consider when buying an antibiotic? Check more than one if applicable.
 Price
 Brand
 Side effects
 Others, please specify. ___________

I. PRACTICES TOWARDS ANTIBIOTICS

YES NO
1. When purchasing antibiotics, I buy the complete dose.
If no, what were your reasons for not buying complete dose
of antibiotics. Check more than one if applicable
 Cost is very expensive
 I will test the drug’s side effects first
 One tablet can make me feel better.
 Others, please specify ____________

2. I use leftover antibiotic when I am sick.

3. When a family member is sick, I give them my antibiotic.
4. I keep antibiotic at home for emergency for my family members.
5. I stop taking antibiotics when I start feeling better.
6. Have you treated yourself (self-medicate) with antibiotics?
If yes, what were your reasons of self-medication with
antibiotics?
 to save expenses and time (consulting the doctor)
 convenience
 lack of trust to the physician
 same condition with a family member
 emergency use
 I can treat my own self
 Others, please specify. ____________

1. How would you take your antibiotics?

 With water
 With tea
 With coffee
 With milk
 With juice
 Others, please specify. ___________
 COLLEGE OF PHARMACY
3/F St. Therese Bldg.
900 San Marcelino St.
1000 Ermita, Manila
Tel. No.: (02) 521-2621
(02) 524-2011 local 390

2. Health conditions for which I have used antibiotics. Check more than one if applicable.
 Common colds
 Flu
 Cough
 Aches and pains (head ache, muscle pain, dental pain)
 Fever
 Diarrhea
 Sore throat
 Skin wounds and injuries
 Others, please specify. ___________