Thank you for your participation in our survey on attitudes and beliefs toward vaccines for adults.

All answers will remain anonymous. 

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* 1. Are you concerned about getting any of the following diseases: Flu, Pneumonia, Measles, Mumps, Rubella, Tetanus, Diphtheria, Hepatitis, and Polio.

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* 2. Do you think it is important to get these vaccines (Select All that Apply)?

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* 3. Are you concerned that the vaccines listed above are safe?

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* 4. In the past year, have you seen or heard any negative information about the above mentioned vaccines?

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* 5. Has a healthcare professional advised that you receive the above mentioned vaccines?

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* 6. Are you aware of the recommended vaccine schedule for your age group?

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* 7. Where do you get the information you trust on the vaccine? Please select all that apply.

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* 8. Have you received any of the below mentioned vaccines

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