1.Are you eligible for winter vaccinations (Flu or COVID-19)?
(If you are not eligible, you do not need to respond to any further questions)

Yes

No

Don't Know

2.Have you had, or do you plan to have your vaccines?

Yes (go to question 4)

No (go to question 3)

Don't Know (go to question 3)

3.If you do not plan to attend your appointment or don't know if you will, can you let us know what could be preventing you? (select all that apply)

I don't want the vaccines

I don't know how to get an appointment

I've been offered an appointment at an inconvenient time or place

I don't know how to reschedule my appointment

I don't know enough about the vaccines

I have concerns about the vaccines

I'm not worried about getting winter illnesses

I don't have confidence that the vaccines work

I haven't been invited yet

Other (please specify)

4.What would make it easier for you to get vaccinated?

5.Is there anything that would help you to make an informed decision about getting vaccinated?