Skip survey header

KRDHD Immunization Survey 2026

Immunization Survey

1. County of Residence: 
2. How confident do you feel in your ability to find trustworthy information about childhood vaccines?  *This question is required.
3. How would you describe your overall level of confidence in childhood vaccines? *This question is required.
4. How important do you think vaccines are for protecting children: *This question is required.
5. Which, if any, childhood vaccines are you currently unsure about? Check all that apply. *This question is required.
6. What are your main questions or concerns about childhood vaccines? Select all that apply. *This question is required.
7. How much do you agree or disagree with the following statement: “I believe the benefits of recommended vaccines for children generally outweigh the risks.” *This question is required.
8. Who most influences your decisions about childhood vaccines? Select your top 3. *This question is required.
9. What would make you more comfortable discussing childhood vaccines with a healthcare professional? Select all that apply.
10. What childhood vaccine information would be most helpful to you? Select your top 3.  *This question is required.
11. What format would you prefer for receiving childhood vaccine information?
12. Which messengers would you trust most to provide childhood vaccine information? Select up to three. *This question is required.
13. Are there specific cultural, religious, or community considerations that should be reflected in vaccine information or outreach?
  *This question is required.
14. What barriers have made it difficult to get your child vaccinated? Select all that apply. *This question is required.
15. Where would you feel most comfortable with your child receiving a vaccine? *This question is required.
0%