Summit perspective on the 2011 influenza season

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1. Please provide the following:

Please provide the following:   Name:
Company:
Email Address:

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2. Describe the type of organization you represent.

Describe the type of organization you represent.   private practice pharmacy local or state public health vaccine manufacturer vaccine distributor community vaccinator

Other (please specify)

3. With the new CDC recommendation that all persons over 6 months of age receive seasonal influenza vaccination, what steps has your organization taken to help implement the new recommendation?

With the new CDC recommendation that all persons over 6 months of age receive seasonal influenza vaccination, what steps has your organization taken to help implement the new recommendation?

4. Have you been able to provide more seasonal influenza immunizations in the 2010-2011 season, compared to past seasons, as a result of your organization's efforts specified in question #3? (Please provide details)

Have you been able to provide more seasonal influenza immunizations in the 2010-2011 season, compared to past seasons, as a result of your organization's efforts specified in question #3? (Please provide details)   Yes No

If you would like to provide details, do so here.

5. Have you been able to provide more seasonal influenza immunizations in the 2010-2011 season, compared to past seasons, as a result of the universal recommendation? (Please provide details)

Have you been able to provide more seasonal influenza immunizations in the 2010-2011 season, compared to past seasons, as a result of the universal recommendation? (Please provide details)   Yes No

If you would like to provide details, do so here.

6. Did you experience or do you anticipate any challenges moving forward to provide influenza immunizations to all persons over 6 months of age?

Did you experience or do you anticipate any challenges moving forward to provide influenza immunizations to all persons over 6 months of age?   Yes No

If you would like to provide details, do so here.

7. What, if any, are the biggest barriers to influenza immunization? (Select all that apply)

What, if any, are the biggest barriers to influenza immunization? (Select all that apply)   cost to patient reimbursement issues vaccine supply concerns over vaccine safety concerns over vaccine efficacy disease severity lack of demand/concern no barriers identified

Other (please specify)

8. Is there any information you would like to share about the impact of the pandemic on uptake of influenza vaccine for the 2010-2011 season?

Is there any information you would like to share about the impact of the pandemic on uptake of influenza vaccine for the 2010-2011 season?

9. What was your observation of the patients' perceptions of the universal recommendation? Were the majority of your patients already AWARE, or were the majority of patients UNAWARE of the recommendation?

What was your observation of the patients' perceptions of the universal recommendation? Were the majority of your patients already AWARE, or were the majority of patients UNAWARE of the recommendation?

10. What other comments would you like to provide regarding the 2010-2011 season?

What other comments would you like to provide regarding the 2010-2011 season?