Tick-borne Disease Awareness Survey

Tick-borne Disease Awareness Survey
Help us assess public knowledge and attitudes about tick-borne diseases. Your responses are anonymous and will support educational efforts.
What is your age group?
What region do you live in?
Have you ever heard of tick-borne diseases?
Which of the following tick-borne diseases are you aware of? (Select all that apply)
Other
How would you rate your knowledge about tick-borne diseases?
In the past 12 months, have you or someone you know been bitten by a tick?
How often do you take the following actions to prevent tick bites when spending time outdoors?
Rows Always Sometimes Never
Wear long sleeves and pants
Use insect repellent
Check for ticks after being outdoors
Avoid tall grass or bushy areas
What are your main sources of information about tick-borne diseases? (Select all that apply)
Other
How concerned are you about tick-borne diseases in your area?

1
2
3
4
5
1 is Not concerned, 5 is Very concerned
What actions would you take if you found a tick attached to your skin? (Select all that apply)
Other
Please share any additional comments or experiences related to tick-borne diseases.
Should be Empty:

Select theme:

Rows	Always	Sometimes	Never
Wear long sleeves and pants
Use insect repellent
Check for ticks after being outdoors
Avoid tall grass or bushy areas