Primary Care Adult Immunization Practices In PA
 

1. Primary Care Adult Immunization Practices In PA

 
Thank you for agreeing to answer a few questions about immunization. The survey will help to inform a collaborative project among the PAFP, the Pennsylvania Dept. of Health, and the Pennsylvania Pharmacists Association. The survey should just take a few minutes. Thank you!

1. Principal practice setting:

 Multi-specialtyPrimary care
Hospital-based
Office-based

2. Vaccines offered:

3. Frequency with which you review immunization history:

4. Action taken when a patient is not up to date: