ASPA
COVID-19 PUBLIC EDUCATION CAMPAIGN A
campaign to increase vaccine acceptance and reinforce basic
prevention measures
CET – Annotated Questionnaire (Wave 8)
Note: The questions below are the proposed questions for the eighth wave of the Weekly Current Events Tracker (CET). Questions highlighted in yellow will be asked every week; questions highlighted in blue will be rotated into the survey on a monthly basis; and questions highlighted in green are meant to be asked in Wave 8 only or are being asked again to update data on a variable of interest. This wave’s module is Vaccine Knowledge and Preferences. This week’s new question set examines vaccine access, registration, and eligibility.ASPA will provide OMB with updates to the questionnaire for subsequent Waves. |
Standard Questions
Modular Questions
One-Time or Repeat Questions Being Asked Again to Update Data
For the next section we would like to talk about current events.
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//PROGRAMMING NOTE: RANDOMIZE ORDER OF Q1/Q2 and Q3/Q4 (I.E., 50% SEE Q1/Q2 FIRST, 50% SEE Q3/Q4 FIRST)//
//BASE: All respondents//
Item #: Q1
Question type: Single punch
// Soft Prompt: “We would like your response to this question.” //
hhs_fam: How familiar are you with the U.S. Department of Health and Human Services (HHS)?
Variable Label: hhs_fam: Familiarity with HHS
Value |
Value Label |
1 |
Not at all familiar |
2 |
Slightly familiar |
3 |
Moderately familiar |
4 |
Very familiar |
-99 |
Refused |
// Page Break //
//BASE: hhs_fam= 2, 3, 4, OR -99//
Item #: Q2
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
hhs_trust. How much trust do you have in the U.S. Department of Health and Human Services (HHS) to provide you with accurate information about the coronavirus or COVID-19?
Variable Label: hhs_trust: Trust in HHS
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q3
Question type: Single punch
// Soft Prompt: “We would like your response to this question.” //
cdc_fam: How familiar are you with the Centers for Disease Control and Prevention (CDC)?
Variable Label: cdc_fam: Familiarity with HHS
Value |
Value Label |
1 |
|
2 |
Slightly familiar |
3 |
Moderately familiar |
4 |
Very familiar |
-99 |
Refused |
// Page Break //
//BASE: cdc_fam= 2, 3, 4, OR -99//
Item #: Q4
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
cdc_trust. How much trust do you have in the Centers for Disease Control and Prevention (CDC) to provide you with accurate information about the coronavirus or COVID-19?
Variable Label: cdc_trust: Trust in CDC
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q5
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_off. How much do you trust U.S. federal public health officials to provide reliable information on COVID-19?
Variable Label: vacc_off: Confidence in U.S. public health officials
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q6
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_trust. How much trust do you have that an FDA-authorized COVID-19 vaccine may be safe and effective for you to get?
Variable Label: vacc_trust: Trust in Safety of Vaccine
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q7
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh1_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. Have you received a COVID-19 vaccine?
Variable Label: beh1: Vaccination behavior
Value |
Value Label |
0 |
No, I have not received a COVID-19 vaccine |
1 |
Yes, but I have only received one shot out of the two required shots |
2 |
Yes, I have received all of the required shots |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet =0 OR -99//
Item #: Q8
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh2a_cet. What is the likelihood that you will get a COVID-19 vaccine?
Variable Label: beh2a: Intention to get vaccinated
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet=1//
Item #: Q9
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh2b_cet. What is the likelihood that you will complete COVID-19 vaccination?
Variable Label: BEH2b_CET: Intention to complete vaccination
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet =0 OR -99//
Item #: Q10
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3a_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get vaccinated? For this question, assume there is enough vaccine so that everyone who wants it can get it.
Variable Label: BEH3a_CET: Wait to get vaccinated
Value |
Value Label |
1 |
I will get a vaccine as soon as I can |
2 |
I will wait to get a vaccine for one or more reasons |
3 |
I will never get a COVID-19 vaccine |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet =1//
Item #: Q11
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3b_cet. Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 are now available at no cost. How soon will you get the second required dose? For this question, assume there is enough vaccine so that everyone who wants it can get it.
Variable Label: BEH3b_CET: Wait to complete vaccination
Value |
Value Label |
1 |
I will get the second required dose as soon as I can |
2 |
I will wait to get the second required dose for one or more reasons |
3 |
I will never get the second required COVID-19 dose |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE beh3a_cet =2//
Item #: Q12-Q14
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh4_cet. You responded that you will wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you would wait to get a COVID-19 vaccine? Select yes or no for each item.
Variable Label: BEH4_CET: Reasons: Waiting to get vaccinated
//PROGRAMMING NOTE: RANDOMIZE BEH3_1_CET-BEH3_10_CET
Variable Name |
Variable Text |
Variable Label |
beh4_1_cet |
I will wait because of my age. |
beh4_1_cet: Age |
beh4_2_cet |
I will wait because of my health status, allergies, or medical history. |
beh4_2_cet: Health |
beh4_3_cet |
I want to know if the vaccine is effective first. |
beh4_3_cet: Confirm effectiveness |
beh4_4_cet |
I am pregnant or expect to become pregnant. |
beh4_4_cet: Pregnant |
beh4_5_cet |
I want to talk to my doctor first. |
beh4_5_cet: Talk to doctor first |
beh4_6_cet |
I want to compare the effectiveness of the different vaccines. |
beh4_6_cet: Compare vaccines |
beh4_7_cet |
I want to see if my friends and family get the vaccine. |
beh4_7_cet: Friends/family |
beh4_8_cet |
I want to see if others who get the vaccine first develop any problems. |
beh4_8_cet: Side effects |
beh4_9_cet |
I want to make sure it is safe for people like me first. |
beh4_9_cet: Confirm safety |
beh4_10_cet |
I want to hear from leaders in my community about the vaccine first. |
beh4_10_cet: Hear from leaders |
beh4_11_cet |
Other |
beh4_11_cet: Other |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q15-Q16
Question Type: Multi-Punch Grid
// Soft Prompt: “We would like your response to this question.” //
vacc_type_know. There are three COVID-19 vaccines currently authorized by the FDA, and more will likely be authorized soon. Please tell us what you know about the different COVID-19 vaccines.
Variable Label: vacc_type_know: Knowledge of vaccine types
//PROGRAMMING NOTE: RANDOMIZE vacc_type_know_1-vacc_type_know_7//
//PROGRAMMING NOTE: RESPONDENTS CAN SELECT MULTIPLE OPTIONS FOR 1-4. OPTION 5 (DON’T KNOW) SHOULD BE EXCLUSIVE.//
Variable Name |
Variable Text |
Variable Label |
vacc_type_know_1 |
Is a one-dose vaccine |
vacc_type_know_1: Vaccine knowledge: One dose |
vacc_ type_know_2 |
Side effects are milder than with other vaccines |
vacc_ type_know_2: Vaccine knowledge: Milder side effect |
vacc_ type_know_3 |
Is effective at preventing COVID-19 |
vacc_ type_know_3: Vaccine knowledge: Effective at prevention |
vacc_ type_know_4 |
Is effective at reducing the symptoms of COVID-19 |
vacc_ type_know_4: Vaccine knowledge: Effective at reducing symptoms |
vacc_ type_know_5 |
Has been authorized by the FDA |
vacc_ type_know_5: Vaccine knowledge: Authorized |
vacc_ type_know_6 |
Is now being used to vaccinate people in the United States |
vacc_ type_know_6: Vaccine knowledge: Now in use |
vacc_ type_know_7 |
Is effective at reducing the symptoms of all COVID-19 variants |
vacc_ type_know_7: Vaccine knowledge: Effective against variants |
Value |
Value Label |
1 |
Pfizer-BioNTech |
2 |
Moderna |
3 |
Johnson & Johnson |
4 |
AstraZeneca |
5 |
Don’t know |
-99 |
Refused |
Value |
Value Label |
0 |
Not selected |
1 |
Selected |
// Page Break //
//PROGRAMMING NOTE: DISPLAY IF beh1_cet=0 or -99//
Item #: Q17
Question Type: Grid (exclusive options)
// Soft Prompt: “We would like your response to this question.” //
vacc_choice. Please rank the following in your decision to get a COVID-19 vaccine.
Variable Label: vacc_choice: Factors on vaccine choice
//PROGRAMMING NOTE: RANDOMIZE vacc_choice_1-vacc_choice5//
//PROGRAMMING NOTE: MAKE EACH COLUMN EXCLUSIVE, SO EACH RESPONSE OPTION CAN ONLY BE SELECTED ONCE.//
Variable Name |
Variable Text |
Variable Label |
vacc_choice_1 |
Only having to take one dose |
vacc_choice_1: One dose |
vacc_choice_2 |
Side effects are milder than with other vaccines |
vacc_choice_2: Side effects |
vacc_choice_3 |
Effectiveness at preventing COVID-19 |
vacc_choice_3: General effectiveness |
vacc_choice_4 |
Effectiveness at reducing the symptoms of all COVID-19 variants |
vacc_choice_4: Variant effectiveness |
vacc_choice_5 |
Getting the vaccine as soon as possible |
vacc_choice_5: Getting soon |
Value |
Value Label |
1 |
1 – Least important |
2 |
2 |
3 |
3 |
4 |
4 |
5 |
5 – Most important |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q18
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_type_diff. How much do you agree or disagree with the following statement: There are major differences between the vaccines (e.g., Pfizer-BioNTech, Moderna, Johnson & Johnson).
Variable Label: vacc_type_diff: Perceived differences in vaccines
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
//PROGRAMMING NOTE: DISPLAY IF beh1_cet =0 or -99//
Item #: Q19
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_pref. If you were able to get any COVID-19 vaccine, which vaccine would you prefer to get?
Variable Label: vacc_pref: Vaccine preference
Value |
Value Label |
1 |
Pfizer-BioNTech |
2 |
Moderna |
3 |
Johnson & Johnson |
4 |
AstraZeneca |
5 |
Other |
6 |
I do not have a vaccine preference |
-99 |
Refused |
-100 |
Valid skip |
//PROGRAMMING NOTE: DISPLAY wait_vacc IF beh1_cet =0 or -99.//
Item #: Q20
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
wait_vacc.
How much do you agree or
disagree with the following statements?
Variable
Label: wait_vacc:
Wait for Vaccine Type or Doses
//PROGRAMMING NOTE: RANDOMIZE wait_vacc_type & wait vacc_dose
Variable Name |
Variable Text |
Variable Label |
wait_vacc_type |
I would wait longer to get vaccinated if it meant getting my preferred vaccine type. |
wait_vacc_type: Wait for Preferred Type |
wait_vacc_dose |
I would wait longer to get vaccinated if it meant getting a vaccine with only one dose. |
wait_vacc_dose: Wait for Preferred Doses |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q21
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
fair_access.
How much do you agree or
disagree with the following statements?
Variable
Label: fair_access:
Fair Access to COVID-19 Vaccine
//PROGRAMMING NOTE: RANDOMIZE fair_access_1 to fair_access_3//
Variable Name |
Variable Text |
Variable Label |
fair_access_1 |
I believe that everyone has fair access to getting a COVID-19 vaccine. |
fair_access_1: Everyone |
fair_access_2 |
I believe that my family has fair access to getting a COVID-19 vaccine. |
fair_access_2: My Family |
fair_access_3 |
I believe that I have fair access to getting the COVID-19 vaccine. |
fair_access_3: Myself |
fair_access_4 |
I believe that the COVID-19 vaccination rollout has been in the best interest of people in my race/ethnicity group. |
fair_access_4: Race/eth best interest |
fair_access_5 |
I believe that people in my race/ethnicity group have been treated fairly during the COVID-19 vaccination rollout. |
fair_access_5: Race/eth fairness |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
//Base: beh1_cet =0 OR -99//
Item #: Q22
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_eligible_now. Are you currently eligible to get a COVID-19 vaccine?
Variable Label: vacc_eligible_now: Vaccine eligibility now
Value |
Value Label |
1 |
Yes |
2 |
No |
3 |
I don’t know |
-99 |
Refused |
// Page Break //
//PROGRAMMING NOTE: DISPLAY IF vacc_eligible_now=1 OR beh1_cet=1 or 2//
Item #: Q23-Q24
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
vacc_signup_source.
How much [PIPE: “have” if
vacc_eligible_now=1,
“did” if beh1_cet=1
or 2]
each of the following people
helped you with the COVID-19 vaccine registration and appointment
processes (e.g., provided information or tips, helped you to
register, took you to or from an appointment)?
//PROGRAMMING NOTE: RANDOMIZE vacc_signup_source1- vacc_signup_source9.//
Variable Name |
Variable Text |
Variable Label |
vacc_signup_source1 |
Myself |
vacc_signup_source1: Myself |
vacc_signup_source2 |
Friends |
vacc_signup_source2: Friends |
vacc_signup_source3 |
Immediate family members |
vacc_signup_source3: Immediate family members |
vacc_signup_source4 |
Extended family members |
vacc_signup_source4: Extended family members |
vacc_signup_source5 |
Neighbors in my community |
vacc_signup_source5: Neighbors in my community |
vacc_signup_source6 |
My employer |
vacc_signup_source6: My employer |
vacc_signup_source7 |
My place of worship |
vacc_signup_source7: My place of worship |
vacc_signup_source8 |
My pharmacist/pharmacy |
vacc_signup_source8: My pharmacist/pharmacy |
vacc_signup_source9 |
My family physician |
vacc_signup_source9: My family physician |
vacc_signup_source10 |
Other |
vacc_signup_source10: Other |
Value |
Value Label |
1 |
Not at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
99 |
Not applicable |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//PROGRAMMING NOTE: DISPLAY IF vacc_eligible_now=1 OR beh1_cet=1 or 2//
Item
#: Q25
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
vacc_reg_difficulty.
When it comes to getting a
COVID-19 vaccine, how difficult has it been for you to register for
or schedule a vaccine appointment?
Variable Label: vacc_reg_difficulty: Vaccine registration difficulty
Value |
Value Label |
1 |
Not at all difficult |
2 |
Slightly difficult |
3 |
Moderately difficult |
4 |
Very difficult |
-99 |
Refused |
-100 |
Valid skip |
For
internal communications only
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |