Vaccination Questionnaire

A vaccine is a biological preparation that can be given to children or adults to induce immunity against infection with bacteria or viruses that can cause life-threatening diseases.

Q.1
Please rate the extent to which you agree or disagree with the following four statements pertaining to vaccination: *
Strongly disagree Tend to disagree Do not know Tend to agree Strongly agree
Vaccines are important for children to have
Overall I think vaccines are safe
Overall I think vaccines are effective
Vaccines are compatible with my religious beliefs

Q.2
What do you think the rate of infant mortality was in Ireland 70 years ago (1948)? (i.e. number of deaths per 1,000 births)

Q.3
What do you think the rate of infant mortality is in Ireland now (2018)? (i.e. number of deaths per 1,000 births)

Q.4
Where do you get your information about vaccines?

Q.5
What is your gender identity?

Q.6
What is your age?

Q.7
What is your approximate average household income?

Q.8
What is your religious preference?

Q.9
What is currently your employment status?

Q.10
What is the highest degree or level of school you have completed?