Research Study on Vaccine Hesitancy and Misinformation on Social Media: Understanding the Impacts on COVID-19 Vaccination
Dear Reader, please help in completing this research by supplying appropriate and genuine answers to the following questions as it pertains to your views and experiences regarding vaccines and misinformation. All answers are very important to the completion of this research, and your responses will be used for the completion of my research paper. We will keep your personal information confidential and will not be shared to any third-party. Thank You!
Email *
Name
Email
Gender *
Age *
Race/Ethnicity *
Highest Level of Education *
Political Affiliation *
Occupation
Have you ever been vaccinated against COVID-19? *
If you are not vaccinated, please choose your main reason:
Clear selection
How would you rate your overall trust in public health authorities and scientists? *
Very Low
Very High
Do you believe that misinformation on social media has affected public perception of vaccines? *
What is your primary source of information regarding health? *
How often do you consume news from conservative media outlets? *
How often do you consume news from liberal media outlets? *
How serious do you believe COVID-19 is as a public health threat? *
Not Serious At All
Very Serious
How likely are you to vaccinate your children against COVID-19? (optional) *
Very Unlikely
Very Likely
Have you ever encountered misinformation about COVID-19 vaccines? *
IF YES, please select all the types of misinformation you encountered:
Do you think preemptive education about vaccines could reduce misinformation? *
What strategy do you believe would be effective in countering misinformation about vaccines? *
Required
How important do you believe it is to address misinformation related to vaccines in your community? *
Not Important At All
Very Important
Any additional comments or suggestions regarding vaccine communication and misinformation:
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Houston Independent School District.

Does this form look suspicious? Report