New Hampshire Public Health Association, in partnership with the New Hampshire Immunization Program and CHI/JSI, is developing a new coalition to heighten awareness of the importance of immunization across the lifespan and to work towards the equitable distribution of vaccines across NH communities.

We invite you to share your thoughts on the goals, challenges, and possibilities for a coalition like this. This brief survey, administered by our third-party consultant, is confidential—the results will only be shared in the aggregate. At the end of the survey, you will have the opportunity to provide your contact information if you’d like to get involved with the coalition, but your survey answers will not be associated with your name.

Thank you in advance for your time and wisdom!

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* Please rank the following possible barriers in terms of their impact on immunization rates (1 = highest impact - 8 = lowest impact)

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* Do you see other barriers to immunization? Please describe.

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* In your opinion, how influential is the anti-vaccination movement in New Hampshire?

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* When you think about members of the community who can help build awareness and acceptance for immunization, which of the following could be most effective.
(choose no more than 3)

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* When you think of organizations working to increase immunization rates statewide, what organization comes to mind first?

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* What one thing could a new immunization coalition do to help create a healthier New Hampshire?

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* Which of the following would be interesting/useful to you as a potential member of a new immunization coalition? (choose all that apply)

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* How would you classify your organization (choose all that apply):

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* Would you like to be a member of, or collaborate with, a new immunization coalition? If so, please provide your name and email address.

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