Please fill out this form and fax it to UNICEF Supply Division +45 35 26 94 21 or post it to: UNICEF SD, Pharmaceutical and Micronutrient Group - HIV/AIDS Survey, Freeport DK-2100 Copenhagen Ø, Denmark
1. GENERAL INFORMATION
Your name |
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Occupation |
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Company name/Organization name |
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Address |
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Telephone |
Fax |
Email (required) |
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Internet address |
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2. FEEDBACK
What did you think of the publication in general?
Excellent, very useful
Good, quite useful
Satisfactory, reasonably useful
Poor, not useful-please indicate why: _________________________________
What did you think of the medicines included in the publication?
Good selection of medicines
More medicines required, for example: ________________________________
Fewer medicines required, remove: ___________________________________
What did you think of the pricing information?
Good, enough information on the prices of drugs of interest
Poor, not enough information
Have you contacted any of the manufacturers listed?
Yes
No
Other comments:
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3. ENQUIRY
I would like to participate in the next Survey (Manufacturing companies only)
I would like to receive more copies of the Publication
Other enquiry:
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