A medical surveillance survey has its own importance. It is conducted in order to know about the health conditions of the people who may require some particular medical attention. The people who take the survey belong to the various strata of the society. The format of the survey is more or less the same, irrespective of the place where it is being conducted. The answers are distilled to qualitative analysis of the results obtained from the survey.

Sample Medical Surveillance Survey:

1. Have you ever suffered from any heart ailment?

a. Yes

b. No

2. Have you ever been a victim of any road accident?

a. Yes

b. No

3. Do you feel extreme mental stress in your day to day schedule?

a. Yes

b. No

c. Sometimes

4. Do you at least get 6 hours of sound sleep in weekdays?

a. Yes, I do get

b. No

c. Sometimes

5. Are you going under any medication for any disease or ailment?

a. Yes ( Please Provide details)

b. No

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