QUESTIONNAIRE

Topic: Factors Influencing General Practitioners Prescribing Behavior with the

moderating role of contextual factors
Choose the response that best describes your level of agreement with each statement.
Please be open and honest in your responding.
Demographic profile:
Gender Qualification Practice setting
Male MBBS Public
Female Diploma Private
Other Both
Age Experience in years No. of prescriptions per day
30- 40 years Less than 5 years Up to 15
From 40 – 50 years 5 – 15 years From 16-30
From 50 – 60 years 16 – 30 years More than 30
More than 60 years Over 30 years

1= Strongly Disagree 2= Disagree 3= Not Sure 4= Agree 5= Strongly Agree

Please tick the box that best fits your opinion for each statement

Cost Awareness 1 2 3 4 5
SD D NS A SA
1. The doctor is usually not aware of actual drug price. 1 2 3 4 5
CA
2. Drugs prices have no effect when choosing a drug. 1 2 3 4 5
CA
3. The doctor has easy access to drug price information.. 1 2 3 4 5
CA
4. The doctors have been formally educated about drug prices. 1 2 3 4 5
CA

Drug sampling 1 2 3 4 5
SD D NS A SA
1. Free drug samples are important to determine the efficacy of drug. 1 2 3 4 5
DS
2. After receiving drug samples, my chances of prescribing that drug are 1 2 3 4 5
DS increased.
3. Medical representative provide an adequate quantity of free drug samples. 1 2 3 4 5
DS
4. Medical sample help in developing my prescription behavior. 1 2 3 4 5
DS
5. Sample feedback is essential criteria for drug prescription. 1 2 3 4 5
DS

Practitioners Knowledge 1 2 3 4 5
SD D NS A SA
1. The doctor usually gain the knowledge about the drugs from publications 1 2 3 4 5
PK in medical journals and medical text books.
2. Pharmaceutical sales representative is one of the doctor’s information 1 2 3 4 5
PK resources.
3. The doctor’s experience with drugs’ treatment profiles is considered when 1 2 3 4 5
PK choosing a drug.
4. Knowledge and experience of the colleges affect the doctor’s opinion in 1 2 3 4 5
PK drugs in some cases.
5. Doctors should be updated with recent studies and mechanisms of actions 1 2 3 4 5
PK of new drugs.

Promotional Tools 1 2 3 4 5
SD D NS A SA
1. The medical representative’s relationship with the doctor affects the 1 2 3 4 5
PT doctor’s choices of the drugs.
2. Frequent visits of the medical representative to the doctor increase the 1 2 3 4 5
PT chances of prescribing his drugs.
3. Sponsoring medical conferences and educational lectures by a 1 2 3 4 5
PT pharmaceutical company has a positive impact on choosing its drugs.
4. Free medical samples of a drug are helping to know its efficacy and then 1 2 3 4 5
PT prescribing it again.
5. Social activities sponsored by the pharmaceutical companies are a good 1 2 3 4 5
PT way to improve the relationship between the doctor and the company.
6. Providing the doctors with gimmicks and stationary tools with the drug’s 1 2 3 4 5
PT name on it helps to remember it when prescribing

Contextual Factors 1 2 3 4 5
SD D NS A SA
Drug Characteristics
1. The doctor takes the effectiveness of the drug into consideration when 1 2 3 4 5
DC choosing a drug.
2. The doctor takes the cost of the drug into consideration when choosing a 1 2 3 4 5
DC drug.
3. The doctor gives the compliance and the dose regimen of the drug a high 1 2 3 4 5
DC consideration.
4. The doctors usually prefer originator drugs. 1 2 3 4 5
DC
5. The quality of the drug (package, tablets & manufacturing) is taking into 1 2 3 4 5
DC consideration.
6. The drug’s country of origin affects its choosing chances. 1 2 3 4 5
DC
Drug Benefits
1. 1 Drug efficacy plays vital role in doctors prescriptions decision. 1 2 3 4 5
DB 2 DE has an impact on prescription decision.
2. Fast acting drugs has an impact on prescription decision. 1 2 3 4 5
DB
3. Low cost medicines has an impact on prescription decision. 1 2 3 4 5
DB
4. Comparatively less side effects of drugs has an impact on prescription 1 2 3 4 5
DB decision.
5. Tolerability of patients has an impact on prescription decision. 1 2 3 4 5
DB
Practitioners Persistence Habit
1. Injectable prescriptions often provide quick relief in most cases. 1 2 3 4 5
PH
2. Oral prescriptions often provide quick relief in most cases. 1 2 3 4 5
PH
3. Doctors provide long term therapy to their patients 1 2 3 4 5
PH
4. I usually prescribe newly launched drugs to patients 1 2 3 4 5
PH
5. I mostly prescribe those medicines that are available at near pharmacy. 1 2 3 4 5
PH

Prescribing Behavior 1 2 3 4 5
SD D NS A SA
1. Gifts of high value have more influence on my prescribing practices. 1 2 3 4 5
PB
2. Doctors usually use the promoted drug. 1 2 3 4 5
PB
3. The number of cases saw daily influence the prescribing process. 1 2 3 4 5
PB
4. The goal of doctors prescribing behavior is to maximize the effect of the 1 2 3 4 5
PB treatment strategy.
5. Information from medical representative influences my prescribing. 1 2 3 4 5
PB
6. Cost of drug is important in your prescription selection. 1 2 3 4 5
PB