COST B4 Survey
The COST project seeks to 'foster international collaboration in research into therapeutic significance of unconventional medicine, its cost-benefit ratio and its socio-cultural importance as a basis for re-evaluation of its possible usefulness or risks in public health'
Memorandum of Understanding, June 1993
Please complete this survey and forward it to your E-Mail network. This survey replicates and extends a survey first carried out at the start of the COST project in 1993. If you are interested, please complete the form below and send it via email.
The original survey drew responses from 20 countries. The results of this survey will be used to inform the EU about public interest and concerns as it considers future action in this field. Please use 'CAPS' locked THROUGHOUT.
Thanks,
Jonathan Monckton
Chairman COST B4
1. 'Family' name only or Anonymous:
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SECTION 1 : GENERAL INTEREST
Please DELETE the topics which DO NOT reflect your general interests:
Pilot studies
Clinical trials
Research methodology
Basic/pre-clinical research
Legal Aspects
Cost-effectiveness
Cultural aspects of health
International research network
Social aspects of unconventional medicine
The history of unconventional medicine
Information service on unconventional medicine
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SECTION 2 : THERAPY INTEREST
Please specify The principal therapy in which you are interested:
The secondary therapy in which you are interested: -----
Please specify The principal therapy in which you are trained:
The secondary therapy in which you are trained: -------
Please specify The principal therapy you have used as a patient:
The secondary therapy you have used as a patient: ------
SECTION 3 : MEDICAL CONDITIONS
Please specify the medical conditions that you are interested in investigating:
Principal medical condition:
Secondary medical condition: -----------------------------
SECTION 4: KNOWLEDGE, USE & BELIEF
Please DELETE those which do not apply. There are many different therapies. A list of 35 therapies follows. Please read each one and answer four simple questions :
* Have you HEARD about this therapy?
* Do you believe it WORKS?
* Have you ever USED this therapy as a patient?
* Have you ever PRACTISED the therapy?
Acupuncture: Heard Works Practised Tried Acupressure: Heard Works Practised Tried
Alexander Technique: Heard Works Practised Tried
Anthroposophy: Heard Works Practised Tried
Aromatherapy: Heard Works Practised Tried
Art Therapy: Heard Works Practised Tried
Ayurvedic Medicine: Heard Works Practised Tried
Bach Flower Remedies: Heard Works Practised Tried
Chiropractic: Heard Works Practised Tried
Chelation Therapy: Heard Works Practised Tried
Colonic Irrigation: Heard Works Practised Tried
Counselling: Heard Works Practised Tried
Colour Therapy: Heard Works Practised Tried
Dance Therapy: Heard Works Practised Tried
Healing: Heard Works Practised Tried
Homoeopathy: Heard Works Practised Tried
Hypnosis: Heard Works Practised Tried
Magnetic Therapy: Heard Works Practised Tried
Therapeutic Massage: Heard Works Practised Tried
Meditation: Heard Works Practised Tried
Music Therapy: Heard Works Practised Tried N
aprapathy: Heard Works Practised Tried
Naturopathy: Heard Works Practised Tried
Nutritional Therapy: Heard Works Practised Tried
Osteopathy: Heard Works Practised Tried
hytotherapy: Heard Works Practised Tried
Reiki: Heard Works Practised Tried
Reflexology: Heard Works Practised Tried
Shiatsu: Heard Works Practised Trie
Spiritual Healing: Heard Works Practised Tried
Stress management: Heard Works Practised Tried
Talk therapy / Counselling: Heard Works Practised Tried
Traditional Chinese Medicine: Heard Works Practised Tried
Therapeutic Touch: Heard Works Practised Tried
Yoga: Heard Works Practised Tried
Another therapy (1): Heard Works Practised Tried
Another therapy (2): Heard Works Practised Tried
Another therapy (3): Heard Works Practised Tried ------
SECTION 5: BACKGROUND & GENERAL
Please complete this section in order to give us an idea of the background and training of individuals responding to the questionnaire : DELETE As appropriate please Sex: Male / Female
Age: under 30 31-40 41-50 51-60 60+
Medical practitioner? : Doctor / Medical Student/ Neither Recommended WWW sites (1):
Recommended WWW sites (2):
Recommended WWW sites (4): ---------------------------
SECTION 6: PERSONAL DETAILS
Please complete this section if you wish. DELETE as appropriate please Personal confidentiality will be respected:
1. Please arrange for me to receive a copy of the results of this survey: YES / NO
2. I would like to participate in a European Forum or Network in Unconventional Medicine: YES / NO
3. I agree to allow this information to be used within the context of COST or other European initiatives YES / NO
4. Medical practitioner / doctor? YES / NO
5. Trained therapy practitioner? YES / NO
7. Length of therapy training: None / Part Time / Full-time 1 yr / 2yr / 3yr / 4yr +
8. Type of Qualification: None / CERTIFICATE / DIPLOMA / DEGREE
9. Validating University or Organisation:
10. Years since qualified: --------------------------
Title, First Name, Family Name:
Organisation:
Address:
Country:
Telephone:
Facsimile:
Email:
WWW site:
Any comments! ----------------------------------
THANK YOU FOR YOUR CO-OPERATION Jonathan Monckton, Chairman COST B4.
Please send e-mail to rccm.gn.apc.org
RCCM, 60 Gt Ormond Street, London WC1N 3JF UK
Research Council for Complementary Medicine
tel +44 (0)171 833 8897 fax +44 (0)171 278 7412
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