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Survey Questionnaire Form
Doctor's details
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  1. What proportion of your patients present to you with complaints of heartburn, acid reflux, or indigestion in a week? *

  2. What proportion of your Pregnant patients present to you with complaints of heartburn, acid reflux, or indigestion in a week? *

  3. What proportion of your Pregnant patients present to you with Gastroesophageal reflux disease (GERD) in a week? *

  4. In which trimester do you most often encounter patients with heartburn and indigestion? *

  5. What are the Non-Pharmacological Treatment advised to the patients? (can select more than one option) *

  6. In adult patients, what is your first-line treatment for heartburn and indigestion? *

  7. What treatment do you prefer for heartburn and indigestion during the first trimester of pregnancy? (can select more than one option) *

  8. What treatment do you prefer for heartburn and indigestion during the second and third trimester of pregnancy? (can select more than one option) *

  9. In pregnancy, what is your first-line treatment for gastro-oesophageal reflux disease (GERD)? *

  10. For which patient group do you most commonly prescribe antacids containing sodium alginate? (can select more than one option) *

  11. How do you use sodium alginate based liquid antacids for treatment of heartburn in pregnancy? (can select more than one option) *

  12. What is the most common combination do you prefer in management of GERD in pregnancy? *

  13. For how long do you recommend a pregnant patient should take liquid antacids *
    14. for heartburn
    for GERD
  14. Sodium alginate based antacids provide better relief from heartburn than locally acting acid neutralising agents? *

  15. Which factor is the most important when selecting a GI antacid for your patients? *

  16. What is your primary concern when prescribing an antacid for pregnant patients? *

  17. How often do you prescribe sodium alginate-based products to adult patients with acid reflux or indigestion? *

  18. How often do you prescribe sodium alginate-based products to pregnant women with acid reflux or indigestion? *

  19. Side effects like constipation and bloating with liquid antacids are a concern for its use pregnant women *

  20. Which group of patients do you believe is most at risk for recurring heartburn or acid reflux? *

  21. Liquid antacid with sodium bicarbonate is a concern for its use in pregnancy for treatment of heartburn and indigestion. *

  22. Liquid antacids containing sodium alginate have a good potential for use in pregnancy for treatment of heartburn or indigestion. *

  23. What benefit do you seek from the drug/formulation while prescribing liquid antacids? *

  24. What benefit do you seek in antacid formulation for pregnant women? *

  25. Palatability of liquid antacids is a concern for its use in pregnancy, especially in first trimester *