Understanding and Using COVID-19 Vaccines: A Healthcare Provider Questionnaire Survey

We would like to have a better understanding of the informational needs of healthcare providers with respect to COVID-19 vaccines. Your response to this questionnaire will help in developing COVID vaccine related education for you and for your patients.

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* 1. How familiar are you with the following?

	Not Familiar	Somewhat Familiar	Familiar	Very Familiar	Expert
The function of the S protein in the SARS-CoV-2 virus	The function of the S protein in the SARS-CoV-2 virus Not Familiar	The function of the S protein in the SARS-CoV-2 virus Somewhat Familiar	The function of the S protein in the SARS-CoV-2 virus Familiar	The function of the S protein in the SARS-CoV-2 virus Very Familiar	The function of the S protein in the SARS-CoV-2 virus Expert
Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID	Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID Not Familiar	Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID Somewhat Familiar	Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID Familiar	Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID Very Familiar	Efficacy data for the mRNA vaccines (Pfizer, Moderna) being developed for COVID Expert
Safety data for the mRNA vaccines being developed for COVID	Safety data for the mRNA vaccines being developed for COVID Not Familiar	Safety data for the mRNA vaccines being developed for COVID Somewhat Familiar	Safety data for the mRNA vaccines being developed for COVID Familiar	Safety data for the mRNA vaccines being developed for COVID Very Familiar	Safety data for the mRNA vaccines being developed for COVID Expert
Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID	Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID Not Familiar	Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID Somewhat Familiar	Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID Familiar	Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID Very Familiar	Efficacy data for the adenovirus vaccines (AstraZeneca/Oxford, Janssen) being developed for COVID Expert
Safety data for the adenovirus vaccines being developed for COVID	Safety data for the adenovirus vaccines being developed for COVID Not Familiar	Safety data for the adenovirus vaccines being developed for COVID Somewhat Familiar	Safety data for the adenovirus vaccines being developed for COVID Familiar	Safety data for the adenovirus vaccines being developed for COVID Very Familiar	Safety data for the adenovirus vaccines being developed for COVID Expert

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* 2. How confident are you in:

	Not Confident	Somewhat Confident	Confident	Very Confident	Expert
The ability of mRNA vaccines to protect your patients from COVID	The ability of mRNA vaccines to protect your patients from COVID Not Confident	The ability of mRNA vaccines to protect your patients from COVID Somewhat Confident	The ability of mRNA vaccines to protect your patients from COVID Confident	The ability of mRNA vaccines to protect your patients from COVID Very Confident	The ability of mRNA vaccines to protect your patients from COVID Expert
Discussing the mRNA vaccines with your patients	Discussing the mRNA vaccines with your patients Not Confident	Discussing the mRNA vaccines with your patients Somewhat Confident	Discussing the mRNA vaccines with your patients Confident	Discussing the mRNA vaccines with your patients Very Confident	Discussing the mRNA vaccines with your patients Expert
The ability of adenovirus vaccines to protect your patients from COVID	The ability of adenovirus vaccines to protect your patients from COVID Not Confident	The ability of adenovirus vaccines to protect your patients from COVID Somewhat Confident	The ability of adenovirus vaccines to protect your patients from COVID Confident	The ability of adenovirus vaccines to protect your patients from COVID Very Confident	The ability of adenovirus vaccines to protect your patients from COVID Expert
Discussing the adenovirus vaccines with your patients	Discussing the adenovirus vaccines with your patients Not Confident	Discussing the adenovirus vaccines with your patients Somewhat Confident	Discussing the adenovirus vaccines with your patients Confident	Discussing the adenovirus vaccines with your patients Very Confident	Discussing the adenovirus vaccines with your patients Expert
Prioritizing which patients should get the vaccine first	Prioritizing which patients should get the vaccine first Not Confident	Prioritizing which patients should get the vaccine first Somewhat Confident	Prioritizing which patients should get the vaccine first Confident	Prioritizing which patients should get the vaccine first Very Confident	Prioritizing which patients should get the vaccine first Expert

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* 3. Do you know who to contact to obtain any of the commercially available COVID vaccines?

Yes

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* 4. Are you familiar with the storage requirements for the mRNA COVID vaccines?

Yes

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* 5. Does your office have the capability of storing the mRNA COVID vaccines?

Yes

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* 6. Do you plan to get/have you gotten vaccinated (at least one dose of vaccine)?

Yes

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* 7. If you have not gotten vaccinated, why not?

Vaccine not available

Not sure the vaccine works

Not sure the vaccine is safe

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* 8. Are you requiring your office staff to get the vaccine?

Yes

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* 9. Have you vaccinated patients for COVID?

Yes

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* 10. What percentage of patients that you vaccinated had an allergic reaction to the vaccine during the waiting period in your office?

2% to 5%

> 5%

N/A

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* 11. Have you set reminders in your EMR to vaccinate patients?

Yes

I do not have access to a vaccine yet

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* 12. How often have you experienced the following:

	Never	Rarely	Sometimes	Frequently	Always	Do not have vaccine access yet
A patient has delayed accepting or refused the COVID vaccine	A patient has delayed accepting or refused the COVID vaccine Never	A patient has delayed accepting or refused the COVID vaccine Rarely	A patient has delayed accepting or refused the COVID vaccine Sometimes	A patient has delayed accepting or refused the COVID vaccine Frequently	A patient has delayed accepting or refused the COVID vaccine Always	A patient has delayed accepting or refused the COVID vaccine Do not have vaccine access yet
A staff member has delayed accepting or refused the COVID vaccine	A staff member has delayed accepting or refused the COVID vaccine Never	A staff member has delayed accepting or refused the COVID vaccine Rarely	A staff member has delayed accepting or refused the COVID vaccine Sometimes	A staff member has delayed accepting or refused the COVID vaccine Frequently	A staff member has delayed accepting or refused the COVID vaccine Always	A staff member has delayed accepting or refused the COVID vaccine Do not have vaccine access yet

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* 13. Do you have a strategy to address:

	Yes	No
A patient delaying or refusing the COVID vaccine	A patient delaying or refusing the COVID vaccine Yes	A patient delaying or refusing the COVID vaccine No
A staff member delaying or refusing the COVID vaccine	A staff member delaying or refusing the COVID vaccine Yes	A staff member delaying or refusing the COVID vaccine No

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* 14. Do you need resources to help you address vaccine hesitancy in patients and staff?

Yes

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* 15. What information and/or resources would be useful to educate patients about the COVID vaccine? (Select all that apply)

More education for yourself on the COVID vaccine

Handouts for patients written at an appropriate literacy level

Poster for your office written at an appropriate literacy level

One or more websites with reliable information about COVID and the vaccine

Other (please specify)

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* 16. How familiar are you with recommendations regarding the use of the following agents to treat high-risk outpatients who have COVID?

	Not Familiar	Somewhat Familiar	Familiar	Very Familiar	Expert
Casirivimab plus imdevimab	Casirivimab plus imdevimab Not Familiar	Casirivimab plus imdevimab Somewhat Familiar	Casirivimab plus imdevimab Familiar	Casirivimab plus imdevimab Very Familiar	Casirivimab plus imdevimab Expert
Bamlanivimab	Bamlanivimab Not Familiar	Bamlanivimab Somewhat Familiar	Bamlanivimab Familiar	Bamlanivimab Very Familiar	Bamlanivimab Expert
Tocilizumab	Tocilizumab Not Familiar	Tocilizumab Somewhat Familiar	Tocilizumab Familiar	Tocilizumab Very Familiar	Tocilizumab Expert
Dexamethasone	Dexamethasone Not Familiar	Dexamethasone Somewhat Familiar	Dexamethasone Familiar	Dexamethasone Very Familiar	Dexamethasone Expert

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* 17. What is your profession?

 MD/DO

 NP

 PA

 RN/BSN

 Pharmacist

Other (please specify)

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* 18. What is your specialty?

 Family Medicine

 Internal Medicine

 Pediatrics

Other (please specify)

Understanding and Using COVID-19 Vaccines: A Healthcare Provider Questionnaire

Question Title

* 1. How familiar are you with the following?

Question Title

* 2. How confident are you in:

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* 3. Do you know who to contact to obtain any of the commercially available COVID vaccines?

Question Title

* 4. Are you familiar with the storage requirements for the mRNA COVID vaccines?

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* 5. Does your office have the capability of storing the mRNA COVID vaccines?

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* 6. Do you plan to get/have you gotten vaccinated (at least one dose of vaccine)?

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* 7. If you have not gotten vaccinated, why not?

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* 8. Are you requiring your office staff to get the vaccine?

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* 9. Have you vaccinated patients for COVID?

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* 10. What percentage of patients that you vaccinated had an allergic reaction to the vaccine during the waiting period in your office?

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* 11. Have you set reminders in your EMR to vaccinate patients?

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* 12. How often have you experienced the following:

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* 13. Do you have a strategy to address:

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* 14. Do you need resources to help you address vaccine hesitancy in patients and staff?

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* 15. What information and/or resources would be useful to educate patients about the COVID vaccine? (Select all that apply)

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* 16. How familiar are you with recommendations regarding the use of the following agents to treat high-risk outpatients who have COVID?

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* 17. What is your profession?

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* 18. What is your specialty?

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* 19. What state do you practice in?

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* 20. Please provide your email address in order to receive the survey results.