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. 2016 Nov 7;13(3):514–517. doi: 10.1080/21645515.2016.1243632

Table 5.

The questionnaire design.

Sections Questions
Demographics 1-Age (years)
2- Gender
Details of AIT & Causes of non compliance / poor compliance 3-When did you start receiving the allergy injections?
4-When did you stop receiving the injections?
  5- If you stopped your injection treatment, Why?
 1. Pain or reactions at injection site
 2. Time needed to wait after injections
 3. Frequent dosing schedule
 4. Long duration of treatment
 5. Distance from area of residence
 6. Pregnancy
 7. Doctors decision
 8. Difficult to leave work
 9. Others (please specify)
  Please answer the following questions if you were started on SLIT:
6- When did you start taking allergy treatment (SLIT)?
7-When did you stop taking allergy treatment drops under the tongue/SLIT
  8- If you stopped your treatment what are the reasons?
 1. Local reactions/ side effects (itching, pain, swelling under the tongue )  2. Difficult dose schedule
3. Long treatment duration
4. No improvement with this treatment
5. Improvement in symptoms, no need for treatment
6. Pregnancy
7. Doctor's decision
8. Others (please specify)