Parent Covid-19 Vaccine Questionnaire

Create an illustration showing a concerned parent discussing Covid-19 vaccinations with a pediatrician while holding a child in a sunny outdoor setting, emphasizing safety and health.

Parent Covid-19 Vaccine Questionnaire

Welcome to the Parent Covid-19 Vaccine Questionnaire, where you can share your insights and preferences regarding the Covid-19 vaccination for children. This quiz aims to gather valuable information and understand parents' perceptions and concerns surrounding the vaccine.

Your responses will help inform discussions regarding child vaccinations in the context of Covid-19. Let's explore important topics:

Vaccination status
Concerns about safety
Influencing factors

24 Questions6 MinutesCreated by CaringParent789

Have you received the Covid-19 vaccine?

Yes

Are you in the medical profession?

Yes

If you are in the medical profession, did this have any bearing on whether or not you chose to vaccinate your child/children against Covid?

Yes

N/a

What age group do you children belong to? Select all that apply.

Birth to 4 years old

5 to 11 years old

12 or older

What is your stance on the Covid-19 vaccine specifically for ages 5-11?

Pro- vaccination

Anti- vaccination

Undecided

Have any of your children received the Covid vaccine?

Yes

If you had your child vaccinated, did you feel pressured due to travel and other restrictions requiring vaccination for both adults and children?

Yes

N/A

Do you or have you had concerns about your child getting vaccinated for Covid?

Yes

What concerns, if any, do/did you have in regards to obtaining the Covid vaccine for your child? Select all that apply.

Adverse side effect related to the Covid vaccine

Not enough information regarding long term side effect of the vaccine

The vaccine being a mRNA vaccine

Growth and Development concerns related to the vaccine

All of the above

None of the above

Other

What potential side effects of the Covid-19 vaccines are you concerned about regarding your children and vaccinations? Select all that apply

Have any of your children tested positive for Covid-19 since the start of the pandemic?

Yes

Do you worry about your child getting seriously ill from Covid-19?

Yes

Are you aware that according to recent studies, Covid is listed as one of the leading killers among children?

Yes

How does watching the spread of Covid-19 make you feel about getting your child vaccinated?

Increases chance of vaccinating

Decreases chance of vaccinating

I will not have my child vaccinated

My child is already vaccinated

What sources do you commonly use to obtain information about Covid and the Covid vaccine? Select all that apply.

Do you trust the the CDC recommendations regarding the Covid-19 vaccine for ages 5-11?

Yes

Do you trust the American Academy of Pediatrics recommendations and guidelines regarding the administration of Covid vaccines for children?

Yes

Does your pediatrician talk to you about recommendations for your children regarding the Covid vaccine?

Yes

Do positive studies and literature on the Covid-19 vaccines make you more confident?

Yes

Does the fact children 5-11 are only eligible for the Pfizer-BioNTech COVID-19 vaccine have any bearing on whether or not you vaccinate your children?

Yes

If Moderna or Johnson and Johnson vaccines were available for children ages 5-11 would this increase your likelihood to obtain vaccination for your children?

Yes

Do you take precautions against Covid-19 for you and your children? If yes, what precautions (masking, handwashing, social distancing, etc..

Yes

Have you personally been affected by the death or serious illness related to Covid 19?

Yes

If yes, did this have any bearing on whether or not you chose to vaccinate your child if eligible?

Yes

N/A

Parent Covid-19 Vaccine Questionnaire

Parent Covid-19 Vaccine Questionnaire

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