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. 2013 Feb 21;9(1):27–33. doi: 10.5114/aoms.2013.33345

Table I.

Questionnaire for customers (1st group)

This is a questionnaire concerning the use of an automatic defibrillator (AED). The results of this questionnaire will be used for my Bachelor's degree thesis. This questionnaire is completely anonymous. There are no “good’’ or “bad’’ answers. Choose the answer you agree the most with. Please check only one answer. Thank you for filling in this questionnaire.
1. Do you know what sudden cardiac arrest (SCA) means?
 a) Yes.
 b) No.
2. Do you know that SCA is a direct life-threatening condition?
 a) Yes.
 b) No.
3. Do you know what an automatic external defibrillator (AED) is?
 a) Yes.
 b) No.
4. Do you know that it is placed in the facility that you are now in?
 a) Yes.
 b) No.
5. Do you know where you should look for it?
 a) Yes.
 b) No.
6. Have you ever completed first aid training?
 a) Yes.
 b) No.
7. If yes, please define when:
 a) before the year 2000,
 b) years 2001-2005,
 c) after the year 2006.
8. Do you know in which conditions the AED should be used?
 a) Yes.
 b) No.
9. Do you know how to use the AED?
 a) Yes.
 b) No.
10. Would you use the AED, knowing about its accessibility, in the situation of sudden cardiac arrest?
 a) Yes.
 b) No.
 c) I do not know.
11. If not, please state why:
 a) I don't remember how to use it,
 b) I don't know how to use it,
 c) I am afraid of using it incorrectly,
 d) I am afraid of the consequences,
12. Please state your gender:
 a) female,
 b) male.
13. Please define your level of education:
 a) primary,
 b) professional abilities,
 c) secondary,
 d) higher.
14. Please define your type of education:
 a) medical degree,
 b) paramedical degree (paramedic, nurse),
 c) non-medical.
15. Please define your place of living:
 a) in the country,
 b) town < 2000 inhabitants,
 c) city 20 000-100 000 citizens,
 d) city > 100 000 citizens.
16. Please state your age:
 a) < 18 years old,
 b) 19-30 years old,
 c) 31-50 years old,
 d) 51-70 years old,
 e) > 71 years old.