This free survey is powered by
  1. Surveys
  2. 2013
  3. October
  4. H
  5. HPV Vaccination
0%
Questions marked with an * are required Exit Survey
 
 
* What is your age? in years
   
 
 
 
* Your sex?
 
Male
 
Female
 
 
 
* Race?
 
African
 
White
 
Coloured
 
Indian
 
Other
 
 
 
* Education?
 
Bachelor
 
Honours
 
Post-Graduate Diploma
 
Masters
 
Doctorate
 
Post-doctorate
 
 
 
* Position at work?
 
Associate Lecturer
 
Lecturer
 
Senior Lecturer
 
Associate Professor
 
Professor
 
Senior Professor
 
 
 
* Marital Status?
 
Single
 
Married
 
Living together
 
Other
 
 
 
* No of children you have? If none then go to question 13
   
 
 
 
8) Did your children receive the vaccines usually recommended at their age?
 
Yes (go to question 10)
 
No (continue)
 
 
 
What was the most important reason for not vaccinating your child?
 
You were anxious about the side effects of vaccine
 
You did not know about vaccines
 
Your physician did not advise
 
You think vaccines are of no use
 
The vaccines were too expensive
 
 
 
What was the most important reason to vaccinate your children?
 
You were aware that vaccines prevent certain diseases
 
Your physician/pediatrician advised
 
Your friends and/or relatives advised
 
Vaccination necessary for admission to school