The Global Self-Care Federation (GSCF) invites members of the International Alliance of Patient Organizations’ network to participate in a patient survey gauging knowledge and attitudes towards self-care products and practices. The survey results will feed into the research process for GSCF’s forthcoming Self-Care Readiness Index. The Federation has undertaken the Index project as part of its 3-year Collaboration Plan with the World Health Organization. The Self-Care Readiness Index aims to identify and discuss the critical enablers for “self-care readiness” in a health system and will offer a measure of selected national systems, underscoring existing progress and identifying opportunities for improvement. The survey will provide critical primary data to underpin the Index’s evaluation of patients’ and consumers’ trust and support for self-care practices.

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* 2. What is your gender?

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* 3. What is your highest-attained education level?

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* 4. What is your annual household income?

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* 5. There are many practices and products one can use to prevent illness. On a scale of 1-5, how frequently do you adopt each of the following measures? (1 = never use, 2 = use sometimes, 3 = use weekly, 4 = use more than once a week, 5 = use daily)

  1 2 3 4 5
Keeping a healthy diet
Taking vitamins, minerals or supplements
Using hand sanitizer
Taking aspirin as a preventative measure
Brushing your teeth with fluoride toothpaste
Using nasal rinses for congestion
Visiting a pharmacist for advice
Visiting a dentist for advice
Contacting a family physician or general practitioner for advice
Meditation

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* 6. When considering practices and products used to treat minor illness, please rank the following in order of priority. (1 = most important in treating illness, first line management, 10 = least important, never use as treatment method)

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* 7. How many days per week do you engage in at least 30-minutes of exercise?

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* 8. Indicate which of the following self-care areas you regularly (i.e., it is your first and preferred method) manage with self-care products (i.e. products available without a prescription from a physician):

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* 9. Do you utilize any traditional or complementary medicine* practices or products to enhance your own self-care regimen? For example, practices may include Qi Gong, Tai Chi and Ayurvedic fitness. Products may include the use of ginseng, reishi, and licorice root.

*Defining Traditional & Complementary Medicine
The World Health Organization defines traditional medicine as "the sum total of the knowledge, skill, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness."

The World Health Organization defines complementary medicine as ”a broad set of health care practices that are not part of that country’s own tradition or conventional medicine and not fully integrated into the dominant health-care system.

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* 10. How many health or wellness-related applications are currently active on your smartphone?

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* 11. How often does your healthcare provider(s)* speak with you about the complementary use of self-care products and practices as part of your ongoing plan for wellness and optimum health?

*Healthcare providers may include doctors, nurses, pharmacists, physiotherapists and dentists etc.

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* 12. How often does your healthcare provider(s)* speak with you about the complementary use of self-care products and practices as part of a treatment plan for a specific medical condition?

*Healthcare providers may include doctors, nurses, pharmacists, physiotherapists and dentists etc.

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* 13. How often do you utilize traditional or complementary health practices?

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* 14. How often do you engage in a dialogue with your healthcare provider(s)* about the use of traditional or complementary medicines?

*Healthcare providers may include doctors, nurses, pharmacists, physiotherapists and dentists etc.

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* 15. Do you have digital access to your personal medical records?

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* 16. How often do you have problems learning about your health because of difficulty understanding written information?

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* 17. Rate your agreement with the following statement: “I feel well-informed, supported, safe and empowered to undertake my own at-home care regimens for preventing illness."

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* 18. Rate your agreement with the following statement: “I feel more educated and empowered to seek out self-care products and practices because of supportive campaigns and programs in my community.”

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* 19. Rate your agreement with the following statement: “I feel well-informed and empowered to undertake my own at-home care regimens for managing my chronic and acute condition(s).”

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* 20. Rate your agreement with the following statement: “I know which self-care products and practices to utilize when I have a headache.”

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* 21. Rate your agreement with the following statement: “I know which self-care products and practices to utilize when I have digestive issues.”

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