Screener

1) What is your Age Bracket?

a. 25 35
b. 45 55
c. 35 45
d. Above 55

2)

What is your Gender?

a. Male
b. Female

3) What is your marital status?

a. Single
b. Married
c. Divorced

3.a) If married or divorced, Please specify if you have kids.

a.
b
.

4)

Yes
No

What is your Educational Background?

a.

Matriculation/O-Levels

b.

Graduate in Pharmacy

c.

Intermediate/A-levels

d.

Others: _______________

1) How many Cough Syrups are your aware of?

Pulmonol
Linkus
Doctor Koff Syrup
Cofloz
Other:
2)

Are you aware of Cofloz?

Yes
No

3)

From where did you learn about Cofloz?

4) Have you used Cofloz?

Yes
No
If Yes,
5) How you feel about Cofloz. ? When I say Cofloz what is the first thing that comes to your
mind?

Is a quality product
Meets clinical needs
Is a trusted & reputed product
It is a herbal medicine
Is proven to be safe & well tolerated
Is appropriate for long term use 1
Is a drug I can trust
Others (Specify) ______

6) Can you please tell me which company manufactures Cofloz?

PFIZER
HERBION
BAYER
GSK
ABBOTT
Dont Know

7) Have you ever taken herbal medicine?

Yes
No
8) Do you think herbal medicines are helpful?
Rarely or never
In some circumstances
In most circumstances
Dont know
Not answered
9)

Who influenced you to use Herbal medicine?

Doctor
family/friends
Pharmacist
Social Media

10) What factors influenced you to purchase or use the herbal medicine?
Quality
Marketing Activity
Product brand
Packaging
Price
Trusted/perceived efficacy
Availability
Other:_____
11) Do you think the trade marketing activity was visually appealing and engaging?

Why?

Strongly Agree
Agree
Neutral

Disagree
Strongly Disagree

Why?
______________________________________________________________________

12) If Coflozl were a person, how would he have been?

Gender:
Personality type:
Profession:
Other:

12) Please give reason(s) if you use / dont use Cofloz or any other cough syrup. Please try to
be specific.