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Vaccination Awareness Survey

1. What is the age of your baby? *This question is required.
4.

Looking at the list below, can you tell us which of these vaccines are you aware of?

*This question is required.
5.

And which of these vaccines do you think are important for your baby?

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6.

For which of these diseases have you already vaccinated your Child?

*This question is required.
Space Cell YesNoDon't Know
Flu (influenza)
Typhoid
Rotavirus
Pneumonia
7.

Please have a look at the options given below and tell us why didn’t you vaccinate your child for Typhoid?
7. Now could you please tell me how severe is Typhoid using a scale of 1 to 5, where 1 is "not at all serious" and 5 is "life-threatening" disease *This question is required.
Not at all seriousMild /Easily manageableModerately seriousVery seriousLife threatening
8.

How do you think Typhoid is transmitted?

*This question is required.
9.

Which of the following statements hold true for Typhoid? Tick only the applicable ones

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10.

Given below are some statements made by women like you on Typhoid. Please tell us how strongly do you agree or disagree with these statements?

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Space Cell Disagree stronglyDisagree slightlyNot very sureAgree slightlyAgree strongly
Typhoid is not that serious, it can be treated easily with medicines
I/My child have never experienced Typhoid
We use a water filter and do not see ourselves at risk of Typhoid
Our doctor never informed us about Typhoid vaccine
11.

Are you aware that there are different types of Typhoid vaccines?

*This question is required.
12.

Given below are some statements made by mothers like you about vaccination. Please tell us how strongly do you agree or disagree with these statements?

*This question is required.
Space Cell Disagree stronglyDisagree slightlyNot very sureAgree slightlyAgree strongly
If a vaccine is available to prevent a disease that may affect me I will always get vaccinated
I think of vaccines as an insurance to protect me throughout my whole lifetime
Vaccines to prevent future ill health are only for babies and children aged under 18 years old
I prefer to take a risk of getting a serious medical condition than to receive a vaccination for it
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