Vaccine Programme Professionals Survey | |
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The purpose of this survey is to collect your views on vaccination whilst providing you with information about the different types of vaccination available free from the NHS, and what disease conditions they will help to prevent. |
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| 1|1|Demographics|1|1 What is your age group? What is your age group? | |
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| 2|1|Demographics|2|2 How would you describe your gender? How would you describe your gender? | |
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| 3|1|Demographics|3|3 What is your profession? What is your profession? | |
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| 4|1|Demographics|4|5 Please select from the following options Please select from the following options | |
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| 5|1|Demographics|5|8 Do you work in any of the following areas of Birmingham? Do you work in any of the following areas of Birmingham? | |
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| 6|1|Demographics|6|9 Please specify Please specify | |
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| 7|1|Demographics|7|10 Please enter the postcode for your place of work (or base location if you are mobile). Please enter the postcode for your place of work (or base location if you are mobile). | |
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Which specific clients / community groups do you support?
(Select all that apply) |
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| 10|1|Demographics|10|13 Please describe the other clients / community groups you support Please describe the other clients / community groups you support | |
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| 11|1|Demographics|11|14 Do you identify with any of the following religions? Do you identify with any of the following religions? | |
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How would you rate your knowledge on the following vaccinations? |
| 12|1|Vaccine knowledge|12|15 MenB vaccine (1st dose - due at 8 weeks old, 2nd dose - due at 16 weeks old, 3rd dose - due at 1 year old) MenB vaccine (1st dose - due at 8 weeks old, 2nd dose - due at 16 weeks old, 3rd dose - due at 1 year old) | |
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| 13|1|Vaccine knowledge|13|16 Rotavirus vaccine (1st dose - due at 8 weeks old, 2nd dose - due at 12 weeks old) Rotavirus vaccine (1st dose - due at 8 weeks old, 2nd dose - due at 12 weeks old) | |
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| 14|1|Vaccine knowledge|14|17 Pneumococcal (PCV) vaccine (1st dose - due at 12 weeks old, booster due at 1 year old) Pneumococcal (PCV) vaccine (1st dose - due at 12 weeks old, booster due at 1 year old) | |
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| 15|1|Vaccine knowledge|15|18 6-in-1 vaccine or DTaP/IPV/Hib/HepB (1st dose - due at 8 weeks old, 2nd dose - due at 12 weeks old, 3rd dose - due at 16 weeks old) 6-in-1 vaccine or DTaP/IPV/Hib/HepB (1st dose - due at 8 weeks old, 2nd dose - due at 12 weeks old, 3rd dose - due at 16 weeks old) | |
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| 16|1|Vaccine knowledge|16|19 4-in-1 pre-school booster (dTaP/IPV) vaccine (due at 3 years and 4 months old) 4-in-1 pre-school booster (dTaP/IPV) vaccine (due at 3 years and 4 months old) | |
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| 17|1|Vaccine knowledge|17|20 3-in-1 teenage booster (Td/IPV) vaccine (due at 14 years old) 3-in-1 teenage booster (Td/IPV) vaccine (due at 14 years old) | |
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| 18|1|Vaccine knowledge|18|21 Live attenuated influenza vaccine LAIV (Eligible paediatric age group) Live attenuated influenza vaccine LAIV (Eligible paediatric age group) | |
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| 19|1|Vaccine knowledge|19|22 Human papillomavirus (HPV) vaccine (due at 12-13 years old - two doses 6-24 months apart) Human papillomavirus (HPV) vaccine (due at 12-13 years old - two doses 6-24 months apart) | |
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| 20|1|Vaccine knowledge|20|23 MMR (measles, mumps and rubella) vaccine (1st dose - due at 1 year old, 2nd dose - due at 3 years 4 months old) MMR (measles, mumps and rubella) vaccine (1st dose - due at 1 year old, 2nd dose - due at 3 years 4 months old) | |
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| 21|1|Vaccine knowledge|21|24 Hib/MenC vaccine (due at 1 year old) Hib/MenC vaccine (due at 1 year old) | |
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| 22|1|Vaccine knowledge|22|25 COVID-19 vaccine (Age 5 and over eligible for 1st and 2nd dose, Age 12 and over eligible for 1st, 2nd and booster dose, Age 75 and over eligible for 4th dose) COVID-19 vaccine (Age 5 and over eligible for 1st and 2nd dose, Age 12 and over eligible for 1st, 2nd and booster dose, Age 75 and over eligible for 4th dose) | |
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| 23|1|Barriers|23|26 What barriers do most often encounter when your patients are hesitant about vaccination? What barriers do most often encounter when your patients are hesitant about vaccination? | |
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| 24|1|Barriers|24|27 Please specify Please specify | |
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| 25|1|Barriers|25|28 How do you think we can overcome these barriers? How do you think we can overcome these barriers? | |
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| 26|1|Barriers|26|29 Would you like resources on vaccinations to promote to your clients? Would you like resources on vaccinations to promote to your clients? | |
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| 27|1|Barriers|27|30 Please provide email address / postal address. Please provide email address / postal address. | |
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| 28|1|Barriers|28|31 Would your organisation be interested in having our health promotion team come out to support you to promote vaccinations to your clients? Would your organisation be interested in having our health promotion team come out to support you to promote vaccinations to your clients? | |
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| 29|1|Barriers|29|32 Please provide your contact details. Please provide your contact details. | |
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| 30|1|Prize Draw|30|33 To say thank you for your time today, we are giving away 5 prizes of a £50 Amazon voucher. To be entered in our prize draw, please leave your email address here. This will never be shared. You will only be contacted if you are one of our lucky winners! To say thank you for your time today, we are giving away 5 prizes of a £50 Amazon voucher. To be entered in our prize draw, please leave your email address here. This will never be shared. You will only be contacted if you are one of our lucky winners! | |
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