SURVEY FORM ON MEDICINE
Name: ……………………………………………………………. Class: Grade 4…………..
Aim: To investigate why people take medicine
S/N Name of Medicine Type of Medicine Name of the illness the Medicine treats
1. Paracetamol Analgesics or Painkiller Headache
2. Cough syrup Coughing Cough
3.
4.
5.
6.
7.
8.
9.
10.
1. Have you taken any of these medications before now? Write the names of TWO (2) of the medicine.
i. ………………………………………………….. ii. .………………………………………….
2. How did you take each of the medicine?
i. By ……………………………………………………………………………………………………
ii. By …………………………………………………………………………………………………...
Answers
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Explanation:
3) antibiotics - bacterial infections
4) antacid - acidity
5) anti vomiting
6) ORS - diarrhoea
7) Injection - fever
8) Ointment - rashes , small cut etc
1 : (i) antibiotic - erythromycin for fever
(ii) ORS - solution of water and salt - dehydration
2: (i) By orally as prescribed by doctor 5 ml two times a day
(ii) ORS - as required ( 3 to 4 times a day or as suggested by the doctor)
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