FiftyUp Club COVID-19 Vaccination Survey
At the FiftyUp Club, we're curious about our members' attitudes to the COVID-19 vaccine. We'd love it if you would fill out this short survey to let us know how you feel.
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Have you had any vaccine yet, even if only the first jab?
Do you intend to have your vaccine at the earliest opportunity?
If you answered "no", or “don’t know”, are you hesitant to have the vaccine?
I’m worried about the safety issues some have raised
I have no intention of having the vaccine ever
I want a vaccine but not the one I’m being offered
I'm not hesitant to have the vaccine
Are you MORE or LESS likely to have the vaccine than you were a month ago?
If you had a choice, which vaccine would you prefer?
AstraZeneca (given to over 50s)
Pfizer (generally reserved for under 50s)
Another such as Moderna which might not be available for some time
What incentives would encourage you to have a vaccine?
None - I’m keen already
Lotto prizes as used in the USA
Cash or goods
A ‘vaccine passport’ allowing freer travel
How old are you?
What's your gender?
What state do you live in?
Which best describes where you live?
Rural and remote
Do you have any further comments on the vaccine?
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This form was created inside of Revtech Media.