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  1. Surveys
  2. 2011
  3. September
  4. V
  5. Vaccination Opt Out
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Exit Survey »
 
 
Hello:
If you opt not to be vaccinated, we ask that you take a moment to complete our very short survey. In this survey, approximately 100 CSUC students will be asked to complete a survey that asks questions about their views on vaccinations. It will take approximately 30 short seconds (really!) to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.
Thank you very much for your time and support. Please start with the survey now by clicking on the link below.
 
 
 
Do you opt OUT of vaccinations, for yourself or your children?
 
Yes, I do NOT get vaccinated.
 
Yes, I do NOT get my children vaccinated.
 
Yes, I do NOT get vaccinated, or vaccinate my children.
 
 
 
Which vaccinations do you opt out of getting?
 
The flu (influenza)
 
Whooping Cough (pertussus)
 
Meningitis (meningococcal)
 
Hepatitis (hepB)
 
ALL vaccinations
 
 
 
Why do you opt out of these vaccinations?
 
Religious (It is against my moral, cultural, or religious beliefs)
 
Health (I believe I, or my child, will get the illness we are being vaccinated for)
 
Health (I believe the vaccine will injure me, or my child)
 
Personal (I disagree with vaccination in general)
 
Cost (I can not afford the vaccines that I, or my child, needs or wants)
 
Other
 
 
 
Do you trust the information on vaccinations provided by the Student Health Center?
 
Yes
 
No
 
Somewhat
 
 
 
Would any of the following options make you more likely to receive vaccinations?
 
More information
 
Increased availability of vaccinations
 
Statistical data on risks vs benefits of vaccinations
 
Reduced cost
 
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