NDDH is looking to collect information on why people choose to and choose not to get vaccinated against preventable diseases. The purpose of the survey is to understand different perspectives regarding immunizations. We value your feedback and thank you for taking the time to complete this survey.

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is the highest level of education you have completed?

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* 4. What is your race or ethnicity?

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* 5. Do you understand how vaccines work?

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* 6. Do you believe vaccines are safe for yourself?

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* 7. Do you believe vaccines are safe for your child/children?

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* 8. Have you ever avoided getting a vaccine for you child/children?

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* 9. Do you believe vaccines are safe for those in your community?

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* 10. What is the most common information source you turn to for information about vaccines?

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* 11. Have you heard of the HPV vaccine?

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* 12. If you have heard of the HPV vaccine, do you see it in a positive or negative light?

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* 13. Some groups do not agree to vaccination for various reasons. In general, do you agree with these group?

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* 14. Do you trust that your government is making decisions in your best interest with respect to what vaccines are provided?

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* 15. Do you trust that your local health department is making decisions in your best interest?

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* 16. Do you think vaccines should be mandatory?

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* 17. Do you trust the pharmaceutical industry?

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* 18. Do you believe that pharmaceutical companies have your and your children's best health interests at heart?

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* 19. Do you believe that there are other (better) ways to prevent vaccine preventable diseases than with a vaccine?

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* 20. Do you trust the vaccine advice your main health care provider gives you?

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* 21. Do you feel social pressure to get vaccinated?

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* 22. Do you feel social pressure to not get vaccinated?

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* 23. If you have children, do you feel social pressure to not get your child vaccinated?

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* 24. Please provide any additional thoughts on vaccination.

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