ASPA
COVID-19 PUBLIC EDUCATION CAMPAIGN A
campaign to increase vaccine acceptance and reinforce basic
prevention measures
CET – Annotated Questionnaire (Wave 36)
Note: The questions below are the proposed questions for the thirty-sixth 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 36 only or are being asked again to update data on a variable of interest. We will be fielding questions about mandates, boosters, and parents’ trusted sources of information and preferred vaccination situations. |
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.
// Page Break //
//BASE: All respondents//
Item #: Q1
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh1_cet_r. Have you received a COVID-19 vaccine?
Variable Label: beh1_cet_r: 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 //
//PROGRAMMING NOTE: beh1_cet_r =1 or 2//
Item #: Q2
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vaccine_id. Which COVID-19 vaccine did you receive?
Variable Label: vaccine_id: Vaccine ID
Value |
Value Label |
2 |
Johnson & Johnson/Janssen |
3 |
Moderna |
4 |
Pfizer-BioNTech |
5 |
Other |
99 |
I do not remember |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q3
Question Type: Multi punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig. Do any of the following conditions apply to you? Please select all that apply.
Variable Label: booster_elig: Current booster eligibility
Value |
Value Label |
1 |
Age 65 years and older |
2 |
Age 18+ who lives or works in a long-term care setting (e.g., nursing home, assisted living facility, inpatient setting, section 811 HUD-assisted housing, etc.) |
3 |
Age 18+ with an underlying medical condition (e.g., cancer, chronic lung diseases, liver disease, overweight and obesity, current or former smoker, etc.) |
4 |
Age 18+ who lives or works in a high-risk setting (e.g., first responder, education staff, food and agricultural worker, corrections officer, grocery store worker, etc.) |
5 |
Age 18+ with a moderately or severely compromised immune system (e.g., receiving active cancer treatment, received an organ transplant, primary immunodeficiency, advanced or untreated HIV infection, etc.) |
6 |
None of the above [EXCLUSIVE] |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet_r =2//
Item #: Q4
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_uptake2. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. Have you received a COVID-19 vaccine booster shot?
Variable Label: booster_uptake2: Booster uptake – September guidance
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: (((booster_uptake2=0) & ((booster_elig=1-5 & vaccine_id=4) OR (booster_elig=5 & vaccine_id=3-4)))//
Item #: Q5
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig_uptake. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. You are currently eligible to receive a COVID-19 vaccine booster shot. What is the likelihood that you will get one?
Variable Label: booster_elig_uptake: Booster uptake likelihood – eligible adults
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: (booster_uptake2=0 & booster_elig=6)//
Item #: Q6
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_likely_v. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. What is the likelihood that you will get a COVID-19 vaccine booster shot if eligible?
Variable Label: booster_likely_v: Booster uptake likelihood – vaccinated adults
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_r =0 OR -99//
Item #: Q7
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_r =1//
Item #: Q8
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_r =0 OR -99//
Item #: Q9
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3a_cet_r. How soon will you get vaccinated?
Variable Label: beh3a_cet_r: 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 //
//PROGRAMMING NOTE: beh1_cet_r =1//
Item #: Q10
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3b_cet_r. How soon will you get the second required dose?
Variable Label: beh3b_cet_r: Wait to complete vaccination
Value |
Value Label |
1 |
I will get the second required shot as soon as I can |
2 |
I will wait to get the second required shot for one or more reasons |
3 |
I will never get the second required COVID-19 shot |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet_r =0 OR -99//
Item #: Q11
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_likely_un. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. Does this make you more likely, less likely, or not affect whether you will get a COVID-19 vaccine?
Variable Label: booster_likely_un: Booster impact on vaccine uptake – unvaccinated
Value |
Value Label |
1 |
Much less likely |
2 |
Somewhat less likely |
3 |
Not affect |
4 |
Somewhat more likely |
5 |
Much more likely |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q12
Question Type: Multi punch
// Soft Prompt: “We would like your response to this question.” //
parent. Are you the parent of a child or children in the following age groups?
Variable Label: parent: Parent of children in following age groups
Value |
Value Label |
1 |
Younger than 6 months old |
2 |
6 months to <2 years old |
3 |
2 to 4 years old |
4 |
5 to 11 years old |
5 |
12 to 15 years old |
6 |
16 to 17 years old |
99 |
None of the above, I do not have children in those age groups [EXCLUSIVE] |
-99 |
Refused |
// Page Break //
//BASE: Parent= 5-6//
Item #: Q13
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
child_vaxxed_2. Has your child(ren) in the following age group(s) received a COVID-19 vaccine?
Note: If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: child_vaxxed_2: Child vaccinated
//PROGRAMMING NOTE: PIPE 5 AND/OR 6 responses from parent//
Value |
Value Label |
|
child_vaxxed_2_5 |
12 to 15 years old |
child_vaxxed_5: 12 to 15 years old |
child_vaxxed_2_6 |
16 to 17 years old |
child_vaxxed_6: 16 to 17 years old |
Value |
Value Label |
0 |
No, has not received a COVID-19 vaccine |
1 |
Yes, but has only received one shot out of the two required shots |
2 |
Yes, has received all of the required shots |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//PROGRAMMING NOTE: Parent= 1-6//
Item #: Q14-Q16
Question Type: Grid
// Soft Prompt: “We would like your response to this question.” //
parent_trust. When it comes to COVID-19 and your child(ren), how much do you trust the following sources to provide you with accurate information?
//PROGRAMMING NOTE: RANDOMIZE variables in grid//
Variable Name |
Variable Text |
Variable Label |
parent_trust_1 |
State or local health officials |
parent_trust1: State or local health officials |
parent_trust_2 |
The U.S. Department of Health and Human Services (HHS) |
parent_trust2: HHS |
parent_trust_3 |
The Centers for Disease Control and Prevention (CDC) |
parent_trust3: CDC |
parent_trust_4 |
State or local school officials |
parent_trust4: State or local school officials |
parent_trust_5 |
The U.S. Food and Drug Administration (FDA) |
parent_trust5: FDA |
parent_trust_6 |
Your pediatrician |
parent_trust6: Pediatrician |
parent_trust_7 |
American Academy of Pediatrics (AAP) |
parent_trust7: AAP |
parent_trust_8 |
Federal health officials |
parent_trust8: Federal health officials |
parent_trust_9 |
Those in your immediate family |
parent_trust9: Immediate family |
parent_trust_10 |
Local or community leaders (e.g., religious leaders) |
parent_trust10: Local leaders |
parent_trust_11 |
American Academy of Family Physicians (AAFP) |
parent_trust11: AAFP |
parent_trust_12 |
Daycare providers |
parent_trust12: Daycare providers |
parent_trust_13 |
Afterschool or community program staff (e.g., YMCA, etc.) |
parent_trust13: Afterschool staff |
parent_trust_14 |
Your child(ren)’s teachers |
parent_trust14: Teachers |
parent_trust_15 |
Your child(ren)’s school nurse(s) |
parent_trust15: School nurse(s) |
parent_trust_16 |
Grandparents |
parent_trust16: Grandparents |
parent_trust_17 |
Friends |
parent_trust17: Friends |
Value |
Value Label |
1 |
Not at all |
2 |
Not much |
3 |
A fair amount |
4 |
A great deal |
98 |
I am not familiar with this source |
99 |
Not applicable |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: Parent= 4-6//
Item #: Q17
Question Type: Multi punch grid
// Soft Prompt: “We would like your response to this question.” //
child_vaxx_situ. Where would you prefer to get your child(ren) in the following age groups vaccinated? Even if your child(ren) has already been vaccinated, specify what your preferred location(s) would have been. Please select all that apply.
Note: If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: child_vaxx_situ: Preferred situations for child vaccination
//PROGRAMMING NOTE: randomize variables in grid//
Value |
Value Label |
|
child_vaxx_situ_5to11 |
5 to 11 years old [Show if parent=4] |
child_vax_situ_5to11: Location of vaccination 5 to 11 years old |
child_vaxx_situ_12to17 |
12 to 17 years old [Show if parent=5-6] |
child_vaxx_situ_12to17: 16 to 17 years old |
Value |
Value Label |
1 |
During a normal wellness visit with my child(ren)’s pediatrician |
2 |
While my child(ren) gets other routine vaccinations (e.g., MMR, chickenpox, flu, etc.) |
3 |
At a pharmacy |
4 |
At school (e.g., from the school nurse) |
5 |
On-site at special events (e.g., festival, sporting event, concert, etc.) |
6 |
A community vaccination site |
7 |
Other (please specify) [ANCHOR] |
99 |
None of the above, I am not comfortable getting my child(ren) vaccinated in any situation [EXCLUSIVE] |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE All respondents//
Item #: Q18-Q19
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
require. Some businesses, states, and cities are requiring that people get a COVID-19 vaccine before being able to visit certain places or engage in certain activities.
How much do you agree or disagree with the following statements about COVID-19 vaccine requirements?
//PROGRAMMING NOTE: RANDOMIZE options//
Variable Name |
Variable Text |
Variable Label |
require_3 |
I think it is fair for businesses or events to have special “vaccinated-only” sections where certain areas and activities are restricted to fully vaccinated adults only. |
require_3: Vaccinated-only sections |
require_4 |
If there are vaccination requirements at different businesses or events, I trust people to be honest about their vaccination status and do not think people should be required to show proof they are fully vaccinated. |
require_4: Trust in honor system |
require_5 |
Requiring people to show proof of their vaccination status violates HIPAA personal health privacy protections. |
require_5: Violates HIPAA |
require_7 |
COVID-19 vaccine requirements are no different than requirements to get other vaccines that are required for travel or school. |
require_7: Same as other vaccines |
require_8 |
States or cities should be allowed to ban vaccine requirements for all businesses or activities. |
require_8: Requirement bans |
require_9 |
I think it is fair for a business to require its employees to get a COVID-19 vaccination. |
require_9: Require employees |
require_10 |
I think vaccine requirements are unconstitutional. |
require_10: Unconstitutional |
require_11 |
I would be less likely to visit a business or event if it had a vaccine requirement. |
require_11: Less likely to visit place with vaccine requirement |
require_12 |
I think it is fair for individual businesses or events to require that their customers be vaccinated in order visit their establishments or participate in the event. |
require_12: Fairness of vaccine requirements |
require_13 |
I think that at this point all vaccination requirements should end and people should be able to decide when and where they feel comfortable going. |
require_13: End vaccine requirements |
require_14 |
Regardless of whether someone is vaccinated, they should have to wear a mask most of the time when indoors at businesses or events. |
require_14: Wear mask regardless of vaccination status |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Somewhat disagree |
3 |
Neither agree nor disagree |
4 |
Somewhat agree |
5 |
Strongly agree |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE All respondents//
Item #: Q20
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
fair_vacc_require. Some businesses, states, and cities are requiring that people get a COVID-19 vaccine before being able to visit certain places or engage in certain activities.
In which of the following locations, or types of events, do you think it is fair to require someone to have a COVID-19 vaccine in order to visit or participate?
//PROGRAMMING NOTE: RANDOMIZE options//
Variable Name |
Variable Text |
Variable Label |
fair_vacc_require_1 |
Indoor dining at a restaurant or bar |
fair_vacc_require_1: Indoor dining |
fair_vacc_require_2 |
Outdoor dining at a restaurant or bar |
fair_vacc_require_2: Outdoor dining |
fair_vacc_require_3 |
Indoor concert, play, festival, or other performance event |
fair_vacc_require_3: Indoor performance event |
fair_vacc_require_4 |
Gym or workout facility |
fair_vacc_require_4: Gym |
fair_vacc_require_5 |
Movie theater |
fair_vacc_require_5: Movie theater |
fair_vacc_require_6 |
Outdoor concert, play, festival, or other performance event |
fair_vacc_require_6: Outdoor performance event |
Value |
Value Label |
1 |
Fair |
2 |
Not fair |
-99 |
Refused |
// Page Break //
//BASE All respondents//
Item #: Q21
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
visit_vacc. Some businesses, states, and cities are requiring that people get a COVID-19 vaccine before being able to visit certain places or engage in certain activities.
Which of the following places would you visit, or events would you attend, if you were required to show proof of COVID-19 vaccination?
Please answer yes or no for each.
//PROGRAMMING NOTE: Keep response option order from fair_vacc_require//
Variable Name |
Variable Text |
Variable Label |
visit_vacc_1 |
Indoor dining at a restaurant or bar |
visit_vacc_1: Indoor dining |
visit_vacc_2 |
Outdoor dining at a restaurant or bar |
visit_vacc_2: Outdoor dining |
visit_vacc_3 |
Indoor concert, play, festival, or other performance event |
visit_vacc_3: Indoor performance event |
visit_vacc_4 |
Gym or workout facility |
visit_vacc_4: Gym |
visit_vacc_5 |
Movie theater |
visit_vacc_5: Movie theater |
visit_vacc_6 |
Outdoor concert, play, festival, or other performance event |
visit_vacc_6: Outdoor performance event |
Value |
Value Label |
1 |
Yes |
2 |
No |
-99 |
Refused |
// Page Break //
//BASE beh1_cet_r=2//
Item #: Q22
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
show_vacc. Some businesses, states, and cities are requiring that people get a COVID-19 vaccine before being able to visit certain places or engage in certain activities.
At which of the following places or events have you already had to show proof of COVID-19 vaccination to visit or attend?
Please answer yes, no, or not applicable for each.
//PROGRAMMING NOTE: Keep response option order from fair_vacc_require//
Variable Name |
Variable Text |
Variable Label |
show_vacc_1 |
Indoor dining at a restaurant or bar |
show_vacc_1: Indoor dining |
show_vacc_2 |
Outdoor dining at a restaurant or bar |
show_vacc_2: Outdoor dining |
show_vacc_3 |
Indoor concert, play, festival, or other performance event |
show_vacc_3: Indoor performance event |
show_vacc_4 |
Gym or workout facility |
show_vacc_4: Gym |
show_vacc_5 |
Movie theater |
show_vacc_5: Movie theater |
show_vacc_6 |
Outdoor concert, play, festival, or other performance event |
show_vacc_6: Outdoor performance event |
Value |
Value Label |
1 |
Yes |
2 |
No |
99 |
Not applicable, have not visited or attended |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q23
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
campaign. How familiar are you with the U.S. Department of Health and Human Services’ (HHS) COVID-19 Public Education Campaign "We Can Do This"?
Variable Label: campaign: Familiarity with “We Can Do This” campaign
Value |
Value Label |
1 |
Not at all familiar |
2 |
Slightly familiar |
3 |
Moderately familiar |
4 |
Very familiar |
-99 |
Refused |
// Page Break //
//BASE: campaign=2-4//
Item #: Q24
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
campaign_source. Where have you seen or heard information about the U.S. Department of Health and Human Services’ (HHS) COVID-19 Public Education Campaign "We Can Do This"? Please select all that apply.
Variable Label: campaign_source: Campaign information source
Value |
Value Label |
1 |
Radio |
2 |
Website |
3 |
Television |
4 |
Social media |
5 |
Podcast |
6 |
Billboard |
7 |
Other |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
// BASE: All respondents//
Item
#: Q25
Question
Type: Single
punch grid
//
Soft Prompt: “We would like your response to this
question.”//
ptn_w35
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below messages, please indicate how much you agree or disagree with the following statement:
“I would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines.”
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
ptn_w36_1 |
Symptoms like fatigue, brain fog, and loss of smell or taste can last for months after you have had COVID-19. |
ptn_w36_1: Symptoms of long COVID |
ptn_w36_2 |
More than 60% of young adults have already gotten a COVID vaccine. |
ptn_w36_2: 60 percent of adults already vaccinated |
ptn_w36_3 |
Millions of people, including teens, have received COVID-19 vaccines without long-term health effects. |
ptn_w36_3: Millions vaccinated and no long-term effects |
ptn_w36_4 |
COVID-19 vaccines are given to children under 12 in smaller doses, tailored for the smaller body of a child. |
ptn_w36_4: Child vaccines are smaller doses |
ptn_w36_5 |
1 in 5 new COVID cases are in children. |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
99 |
Refused |
For
internal communications only
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Lindsey Strausser |
File Modified | 0000-00-00 |
File Created | 2023-07-29 |