COVID-19 Proxa Response Survey
COVID-19 Proxa Response Survey
Participate in our COVID-19 Proxa Response Survey to provide insights on vaccination perceptions and experiences. Your feedback is crucial for understanding community attitudes toward vaccination and addressing concerns.
- Share your experiences with vaccination.
- Help identify information gaps and areas of concern.
- Contribute to a healthier community.
Gender?
Male.
Female.
Have you been vaccinated?
Yes
No
If not vaccinated yet, will you be going soon?
Yes
No
N/A
Did you had COVID before?
Yes
No
Do you have a medical illness?
Yes
No
Concerns regarding the COVID-19 vaccines?
No.
Lack of information.
Side effects.
Not safe.
Not effective.
Against vaccinations.
Religious reasons.
Cultural reasons.
Believe in natural remedies.
It is an experimental drug.
It will change my DNA.
Fear of injection.
Other: Please specify
Other
Please Specify:
Who would you want more information from regarding vaccinations?
Health nurse/ Specialist.
My supervisor.
Doctor.
None of the above.
Other: Please specify
Other
Please Specify:
If you are hesitant what would motivate you to go for a vaccination?
N/A
Voucher.
More information.
Transport assistance.
Other: Please specify
Other
Please Specify:
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