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Survey Questionnaire Form

Doctor’s details
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Questionnaire

  1. Which is the most important etiology that you associate in Indian patients with hypertension? (choose any top 3 of the following)*
  2. Out of 100 what is the gender wise proportion of your newly detected hypertensive patients ? (Please specify) *
  3. Females
    Males
    Others
  4. Out of 100 what is the age wise proportion of your newly detected hypertensive patients ?(Please specify) *
  5. <30 years old
    31-40 years old
    41-50 years old
    51-60 years old
    >60 years old
  6. What proportion of patients with hypertension do not achieve their blood pressure goals? *
  7. According to you which is the most important factor in predicting the risk of primary hypertension? *
  8. In your patients with hypertension which is the most frequent comorbidity? *
  9. What proportion of your patients with hypertension with co-existing CKD do not achieve their blood pressure goals? *
  10. What proportion of your patients with hypertension with co-existing Diabetes do not achieve their blood pressure goals? *
  11. What proportion of your patients with hypertension with co-existing Heart failure do not achieve their blood pressure goals? *
  12. What is the prevalence of resistant hypertension in your practice? *
  13. For management of hypertension in what proportion of patients will you prescribe the following- *
  14. A. Single agent

    B. Two agents

    C. Three agents

    D. More Than Three Agents

  15. When choosing the 4th drug in managing hypertension which of the following factors are important ? (choose any 2) *
  16. Do you use Ambulatory blood pressure monitoring (ABPM) in your practice? *
  17. In which patient profiles do you consider using Ambulatory blood pressure monitoring (ABPM)? (more than one option can be selected) *
  18. Among your patients with hypertension – in what proportion of patients do you see renovascular hypertension ? *
  19. Which is your preferred 4th line agent in patients of hypertension not controlled on three drugs? (choose top 2 preference) *
  20. What proportion of your hypertensive patients be classified as (Please specify) *
  21. Non-dippers
    Salt sensitive hypertension
    Isolated systolic hypertension
  22. Do you recommend home monitoring of blood pressure? *
  23. What proportion of your patients monitor blood pressure at home? *
  24. According to you following is applicable for home blood pressure monitoring? (choose any 2) *
  25. What new drugs for the treatment of hypertension will help address current need gaps ? (more than one option can be selected) *
  26. What percent of following events do you see in your hypertensive patients ? (Please specify) *
  27. Stroke
    Myocardial Infarction
    End Stage Renal Disease