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COVID-19 Proxa Response Survey

A diverse group of people discussing COVID-19 vaccinations in a community setting with informational pamphlets and vaccines in the background.

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.

12 Questions3 MinutesCreated by VaccinatingFriend24

Age?

Gender?

Male.

Female.

Have you been vaccinated?

Yes

If not vaccinated yet, will you be going soon?

Yes

N/A

Site and Department?

Did you had COVID before?

Yes

Do you have a medical illness?

Yes

Approximately how many people do you know of that have been vaccinated?

How many vaccination cases have you heard of that had complication?

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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