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Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
Age
 
20-25
 
26-30
 
31-35
 
35-40
 
above 40
 
 
 
Gender
 
Male
 
Female
 
Others
 
 
 
Civil Status
 
Single
 
Married
 
Separated
 
Other
 
 
 
Highest Educational Attainment
 
BS
 
MS
 
MD
 
PHD
 
 
 
Academic or Research Discipline
 
chemistry
 
biology
 
biochemistry
 
medicine
 
pharmacy
 
physics
 
public health
 
medical technology
 
other
 
 
 
Is Medicinal Chemistry necessary for health research and academic development?
 
Yes
 
No
 
Uncertain
 
 
 
Are you aware of any existing graduate program in Medicinal Chemistry at any University in our country?
 
Yes
 
No
 
Uncertain
 
 
 
If the University of the Philippines offers MS/PHD Medicinal Chemistry, are you interested to enrol in this program?
 
Yes
 
No
 
Uncertain
 
 
 
If a government scholarship is available to support the MS/PHD Medicinal Chemistry students, are you going to avail of it to support your studies?
 
Yes
 
No
 
Uncertain