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Vaccine Questionnaire

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Vaccine questions
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1. Which of the following best describes your current vaccination status?

Choose one answer
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2. In your opinion, what are the most significant benefits of vaccination?

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3. What are the main reasons you might choose NOT to get vaccinated, if applicable?

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4. Which sources of information do you trust most when learning about vaccines and vaccination-related topics?

Choose one answer
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5. How concerned are you about potential risks associated with vaccines?

Choose one answer
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6. Do you believe the benefits of vaccination outweigh the potential risks?

Choose one answer
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7. Have you ever experienced any adverse reactions after receiving a vaccination? If yes, please describe

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8. In your opinion, should vaccination be mandatory for certain groups (e.g., healthcare workers, school children), or should it remain a personal choice?

Choose one answer
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9. What factors, if any, might influence your decision to vaccinate in the future?

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10. Are there any specific concerns or stories you've heard around vaccines which you could name?

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11. Have you ever considered seeking alternative health advice or treatments instead of conventional vaccination? If so, what motivated this choice?

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12. Is there any aspect of vaccines that you would like to know more about?

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13. Lastly, what is your age?

Only use numbers