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Appendix

CHAPTER 4.2

APPENDIX A: PUBLIC POLLING SURVEY QUESTIONNAIRE

使用醫療券用作慢性疾病篩查和管理的意見調查
Opinions on Using Vouchers for Chronic Diseases’ Screening &
Management

「喂，你好，我哋係中文大學賽馬會公共衞生及基層醫療學院打嚟嘅，我哋做緊一個有關香港
市民對使用醫療券用作慢性疾病篩查和管理醫療券嘅意見調查，你提供的所有資料，只作研究
用途，會保密處理。希望你可以花少少時間回答一啲簡短嘅問題，請問可唔可以呢？」 【需時
3、4分鐘】
We are calling from the CUHK-JCSPHPC and conducting a survey about the opinions of
Hong Kong citizens on using vouchers for chronic diseases’ screening & management. All
your information provided will be kept confidentially. We hope that you can spend a few
moments to answer our brief questionnaire, are you interested?

受訪者性別GENDER
【以下資料由訪問員填寫】 The surveyor will fill in the following information:

【如未能確定受訪者性別，追問：「對唔住，我聽得唔係好清楚，請問你係男士係女士
呢？」】
If the surveyor cannot ascertain the individual’s gender, please ask: I apologise, I could
not hear clearly, what gender do you identify with?

1. 男Male
2. 女Female

年齡AGE
[1]
「請問你屬於以下邊個年齡組別呢？」【讀出1-6】
What is your age range? [1]

1. 18–24歲 18–24 age range

2. 25–34歲 25–34 age range

3. 35–44歲 35–44 age range

4. 45–54歲 45–54 age range
5. 55–64歲 55–64 age range

6. 65歲或以上 65 years or above

9. 拒絕回答 Refuse to answer

Note: Questions with [1] notation indicate that responses purposefully skipped chronological ordering to indicate variation in
response types.

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