Influenza Vaccine Supply Question Title * Contact Information Provider Name Name of Person Completing Survey Phone Number Email Address Question Title * Prevention Partnership Number(if you have one) Prevention Partnership Number Question Title * Please enter the number of doses of privately purchased flu vaccine on hand. Fluzone(Sanofi Pasteur) .25 mL prefilled syringe Fluzone(Sanofi Pasteur) .5 mL prefilled syringe Fluzone(Sanofi Pasteur) Single dose vial Fluzone(Sanofi Pasteur) Multidose vial Agriflu(Novartis) .5 mL prefilled syringe Agriflu(Novartis) Single dose vial Agriflu(Novartis) Multidose vial Fluvirin(Novartis) .5 mL prefilled syringe Fluvirin(Novartis) Multidose vial Fluarix(GlaxoSmithKline) .5 mL prefilled syringe FluLaval (distributed by GlaxoSmithKline) Multidose vial Afluria(CSL Biotherapies) .5 mL prefilled syringe Afluria(CSL Biotherapies) Multidose vial Fluzone High Dose(Sanofi Pasteur) .5 mL prefilled syringe Fluzone Intradermal (Sanofi Pasteur) .1 mL prefilled microinjection system Flumist (MedImmune) 0.2 mL prefilled intranasal sprayer Question Title * Do you feel that you have an adequate supply of flu vaccine to accommodate your patients? Question Title * If needed, do you have privately purchased vaccine that you would be willing to sell to a different provider? Done