COVID-19 Vaccine Survey
What is your employment status?
Student
Employed
Self-employed
Unemployed
Not looking for a job
Do you go to school?
Yes, I go to school every weekdays.
No, I take online classes.
I go to school 1-2 times in a week.
Do you go to the main office?
Yes, I go to the office every weekdays.
No, I work from home.
Yes, I go to the office 1-2 times in a week.
Are you planning to get the COVID-19 vaccine?
Yes
No
Not sure yet
Which of the followings define your concerns about getting the vaccine?
I have concerns about the vaccine's side effects, long-term safety and efficacy
I have religious reasons
I do not believe it will be a solution for Coronavirus disease
I believe that it will have negative effects on my health
Other
Which of the followings would be helpful if you did not decide yet?
If my doctor would approve
If legal authorities would approve
If a detailed written review would be shared with public about how the vaccine produced and what it contains
I want to wait for a period to observe how other people react to the vaccine
Other
Please explain your reasons
Submit
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