Thank you for agreeing to take part in this survey. You may read and print an explanatory statement and consent form by clicking here. Please choose the appropriate answer for each question from the drop down boxes below.

	First some questions about you......
	1. Are you male or female? --- Please Select --- Male Female
	2. How old are you? --- Please Select --- Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 plus
	3. Please indicate your highest qualification from the box --- Please Select --- None of the following GCSEs or equivalent (age 16) A levels or equivalent (age 18) Undergraduate degree (Bachelors) Postgraduate degree (Masters etc) Doctoral degree (PhD etc)
	4. Are you a parent with children under 12 living at home? --- Please Select --- Yes No
	5. What is the first half of your postcode? (If you are not from the UK please enter your country instead)
	6. Have you visited this site before? --- Please Select --- Never this is my first visit Yesterday In the last week In the last month More than a month ago
	7. How did you find out about it? --- Please Select --- Friend or Family Mailing list Search Engine Link from other website Other If you chose "other website" or "other" please give more details here
	8. Why are you visiting the site? --- Please Select --- To find out more about antibiotic resistance Because I am ill Because my child is ill Just surfing the Internet Other If you chose "other" please give more details here
	9.Have you recently read or heard any other information about antibiotic resistance? --- Please Select --- Yes No Not Sure
	10. Have you taken any antibiotics in the last 4 weeks? --- Please Select --- Yes No Not Sure
	11. Do you have any antibiotics in your medicine cupboard at home? --- Please Select --- Yes No Not Sure
	12. Are you working in a health-related profession? --- Please Select --- Yes No If yes, please specify
	Please say whether you think the following are true or false statements
	1. Antibiotics have no side effects --- Please Select --- True False Don't know
	2. Most bacteria, viruses and fungi make us ill --- Please Select --- True False Don't know
	3. Antibiotics help cure most sore throats --- Please Select --- True False Don't know
	4. If I take antibiotics when I am abroad it will not affect the development of resistance to antibiotics in the UK --- Please Select --- True False Don't know
	5. People can become resistant to antibiotics --- Please Select --- True False Don't know
	6. I can stop taking antibiotics as soon as I feel better, I don’t need to finish the course --- Please Select --- True False Don't know
	7. Antibiotics kill bacteria but never kill viruses --- Please Select --- True False Don't know
	8. It is ok to drink alcohol when taking most types of antibiotics --- Please Select --- True False Don't know
	9. The same types of antibiotics are used in animals and in humans --- Please Select --- True False Don't know
	10. Antibiotics should always be prescribed to treat bronchitis --- Please Select --- True False Don't know
	Please say how much you agree or disagree with the following:
	11. Antibiotics should usually be given to a child with an ear infection --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	12. Ten day courses are usually more effective than shorter courses of antibiotics --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	13. When you have a cold, taking antibiotics can help prevent you from getting a more serious infection --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	14. If we don’t stop using antibiotics when they are not really needed they won’t work in 5 years time --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	15. Giving antibiotics to animals does not have any effect on whether or not antibiotics work in humans --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	16. Antibiotics should be given to treat patients with SARS --- Please Select --- I strongly agree I mostly agree I'm not sure but more likely agree I'm not sure but more likely disagree I mostly disagree I strongly disagree with I have no opinion on this statement
	17. Please submit your email address to be sent your score and the survey results

Thank you for taking part!