Covid-19 Vaccination  Questionnaire

The purpose of the survey is to capture participants’ attitudes and perceptions towards the COVID-19 vaccination. The questions asked in the survey can be answered by anyone who has received the vaccination, is yet to receive it or has chosen not to take it up. The aim is to understand the experiences and reasons for having/not having the vaccination and what could be done to increase uptake. This survey is being done in selected areas of Walsall.

As mentioned above, your participation is anonymous and voluntary. Information you give in this survey will remain confidential and responses will not identify you.

We will ask for data at the end of the survey like postcode, age, gender, sexual orientation, disability, ethnic background and nationality. These questions are optional and will not affect your participation. We ask for this data so we can understand more about who has participated in this survey.  

If you have any questions or concerns about this work or how your data will be processed, please email walsallforall@walsall.gov.uk.

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Do you understand the above and agree to continue participating? *
1. Are you currently registered with a GP? If YES, what is the name of your GP?
2. Have you...?
3. If YES to the above question: a. How easy or difficult was it to book an appointment?
3. b. In which setting did you receive your vaccination?
3. c. In which town or city did you visit to attend your vaccination appointment?
3. d. Did it hurt when you received the vaccination?
3. e. What, if any, side effects did you experience after receiving your vaccination?
3. f. How would you describe the process overall of receiving the vaccination?
4. Why did you have the COVID-19 vaccination?
If answer is NO to Q2 -                                                                                                                                                                                        5. Why are you unsure or have chosen not to have the vaccination?
6. What, if any, would encourage you or others to get the COVID-19 vaccination?
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