Childhood Immunisation Parent Survey To help us improve we would like to ask you a few questions about your experience so far. It will only take 2 minutes and your answers will help us make IntraHealths Immunisation Service even better for you, other Parents and your children. OK Question Title * 1. Were you satisfied with the information provided by IntraHealth to make a decision about your child receiving the nasal flu vaccine? Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied OK Question Title * 2. Were you satisfied with your child receiving the nasal flu vaccine in school? Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied OK Question Title * 3. Based on your child's recent experience please rate your satisfaction with IntraHealth's Immunisation Service? Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied Very dissatisfied Dissatisfied Neither satisfied nor dissatisfied Satisfied Very satisfied OK Question Title * 4. Based on your experience this year how likely are you to give consent for your child to receive the nasal flu vaccine in future years? Very unlikely Unlikely Neither likely nor unlikely Likely Very likely Very unlikely Unlikely Neither likely nor unlikely Likely Very likely OK Question Title * 5. How interested would you be in completing the consent form online? Very unlikely Unikely Neither likely nor unlikely Likely Very likely Very unlikely Unikely Neither likely nor unlikely Likely Very likely OK Question Title * 6. If you would like to share any additional comments or experiences about the IntraHealth Immunisation Service, please enter below: OK DONE