COVID-19 Vaccination > Content: COVID-19 Vaccine Survey

Current Socio-demographic information
Health & COVID-19 history
COVID-19 vaccination

BACKGROUND

Research has been ongoing for the development of vaccines against COVID-19. Using this short online questionnaire, we seek to investigate the factors that may affect the acceptability of COVID-19 vaccination in low- and middle-income settings. To participate, kindly provide honest and truthful answers to the questions below. Your participation is voluntary, totally anonymous, and without any consequences. It should not take you more than 5 minutes to complete the survey. Thank you.

Age *

Sex

Male

Female

Country of residence: *

Highest educational level

Primary

Secondary

University Undergraduate degree holder

University Postgraduate degree holder

Are you a student or worker in the healthcare sector?

Yes

Who do you currently live with in the same household? Please select the number of persons in each age category. *

Questions	1	2	3	4	5	6	7	8	9	10
60 years and above *	1	2	3	4	5	6	7	8	9	10
18 to 59 years *	1	2	3	4	5	6	7	8	9	10
12 to 17 years *	1	2	3	4	5	6	7	8	9	10
Less than 12 years *	1	2	3	4	5	6	7	8	9	10

Which of the following categories best describes your current socio-economic situation?

Low income category

Lower middle income category

Upper middle income category

High income category

Do you live in:

A rural place / village

A Sub-urban setting / urban slum

An urban setting / city / town