Cold and Flu Survey Question Title * 1. What is your age? Younger than 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 2. What is your gender? Female Male Question Title * 3. Did you receive a flu vaccine within the past year? (September 1, 2015 - September 2, 2016) Yes No Not sure Next