Needle Shortage Survey
Please fill out the short survey below and tell us if your site has been experiencing needle shortages. The Philadelphia Immunization Program is working to better understand the need throughout the city and identify ways to address it.
If you have any questions, please contact
1. VFC/VFAAR Pin #
2. Site name
3. Site address
4. Contact Name
5. Contact Title
6. Contact Email address
7. Contact Phone #
8. Which needles are you currently having trouble accessing (Select all that apply):
25 gauge 1 inch Needle tips for prefilled syringes
25 gauge 5/8 inch Needle tips for prefilled syringes
25 gauge 1 1/2 inch Needle tips for prefilled syringes
25 gauge 1 inch 1mL Syringes
25 gauge 5/8 inch 1mL Syringes
25 gauge 1 ½ inch 1mL Syringes
25 gauge 1 inch 3 mL Syringes
25 gauge 5/8 inch 3 mL Syringes
25 gauge 1 ½ inch 3 mL Syringes
9. How long do you estimate your current supply of needles will last?
≥ 1 month
3- 4 weeks
1 –2 weeks
≤ 1 week
Supply is already depleted
10. How many needles do you typically use in a week?
11. Select the statement that best matches the current situation at your site:
We placed have an order for needles and it is on its way
We placed have an order for needles but it is delayed
We tried to place an order but were told that there is no stock available
None of the above
12. Are there additional details about the challenges that your practice is having accessing these supplies that we should be aware of?
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