Vaccine Program Survey

1. If you haven’t gotten a COVID vaccine yet, please rank your reasons for not getting it.

Space Cell	Not at all important	Slightly important	Important	Fairly important	Very important	N/A
Difficulty getting an appointment	Difficulty getting an appointment: Not at all important	Difficulty getting an appointment: Slightly important	Difficulty getting an appointment: Important	Difficulty getting an appointment: Fairly important	Difficulty getting an appointment: Very important	Difficulty getting an appointment: N/A
Difficulty getting TO an appointment	Difficulty getting TO an appointment: Not at all important	Difficulty getting TO an appointment: Slightly important	Difficulty getting TO an appointment: Important	Difficulty getting TO an appointment: Fairly important	Difficulty getting TO an appointment: Very important	Difficulty getting TO an appointment: N/A
I only want Johnson & Johnson and can’t find where to get that	I only want Johnson & Johnson and can’t find where to get that: Not at all important	I only want Johnson & Johnson and can’t find where to get that: Slightly important	I only want Johnson & Johnson and can’t find where to get that: Important	I only want Johnson & Johnson and can’t find where to get that: Fairly important	I only want Johnson & Johnson and can’t find where to get that: Very important	I only want Johnson & Johnson and can’t find where to get that: N/A
I’m worried about missing work because of the shot effects	I’m worried about missing work because of the shot effects: Not at all important	I’m worried about missing work because of the shot effects: Slightly important	I’m worried about missing work because of the shot effects: Important	I’m worried about missing work because of the shot effects: Fairly important	I’m worried about missing work because of the shot effects: Very important	I’m worried about missing work because of the shot effects: N/A
I’m worried about unknown long-term impacts of the vaccine	I’m worried about unknown long-term impacts of the vaccine: Not at all important	I’m worried about unknown long-term impacts of the vaccine: Slightly important	I’m worried about unknown long-term impacts of the vaccine: Important	I’m worried about unknown long-term impacts of the vaccine: Fairly important	I’m worried about unknown long-term impacts of the vaccine: Very important	I’m worried about unknown long-term impacts of the vaccine: N/A
I’m worried this vaccine was rushed out without appropriate testing	I’m worried this vaccine was rushed out without appropriate testing: Not at all important	I’m worried this vaccine was rushed out without appropriate testing: Slightly important	I’m worried this vaccine was rushed out without appropriate testing: Important	I’m worried this vaccine was rushed out without appropriate testing: Fairly important	I’m worried this vaccine was rushed out without appropriate testing: Very important	I’m worried this vaccine was rushed out without appropriate testing: N/A
I’m worried about genetic changes the vaccine might cause	I’m worried about genetic changes the vaccine might cause: Not at all important	I’m worried about genetic changes the vaccine might cause: Slightly important	I’m worried about genetic changes the vaccine might cause: Important	I’m worried about genetic changes the vaccine might cause: Fairly important	I’m worried about genetic changes the vaccine might cause: Very important	I’m worried about genetic changes the vaccine might cause: N/A
I am healthy and trust my immune system to take care of me if I get COVID	I am healthy and trust my immune system to take care of me if I get COVID: Not at all important	I am healthy and trust my immune system to take care of me if I get COVID: Slightly important	I am healthy and trust my immune system to take care of me if I get COVID: Important	I am healthy and trust my immune system to take care of me if I get COVID: Fairly important	I am healthy and trust my immune system to take care of me if I get COVID: Very important	I am healthy and trust my immune system to take care of me if I get COVID: N/A
It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: Not at all important	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: Slightly important	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: Important	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: Fairly important	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: Very important	It’s a moral issue: I heard fetal cells might have been used in the development of this vaccine: N/A
I don’t trust the government and public health officials	I don’t trust the government and public health officials: Not at all important	I don’t trust the government and public health officials: Slightly important	I don’t trust the government and public health officials: Important	I don’t trust the government and public health officials: Fairly important	I don’t trust the government and public health officials: Very important	I don’t trust the government and public health officials: N/A
I already had COVID-19 so I don’t need the vaccine	I already had COVID-19 so I don’t need the vaccine: Not at all important	I already had COVID-19 so I don’t need the vaccine: Slightly important	I already had COVID-19 so I don’t need the vaccine: Important	I already had COVID-19 so I don’t need the vaccine: Fairly important	I already had COVID-19 so I don’t need the vaccine: Very important	I already had COVID-19 so I don’t need the vaccine: N/A
I don’t trust ANY vaccine	I don’t trust ANY vaccine: Not at all important	I don’t trust ANY vaccine: Slightly important	I don’t trust ANY vaccine: Important	I don’t trust ANY vaccine: Fairly important	I don’t trust ANY vaccine: Very important	I don’t trust ANY vaccine: N/A
I hate needles and it’s not worth the stick	I hate needles and it’s not worth the stick: Not at all important	I hate needles and it’s not worth the stick: Slightly important	I hate needles and it’s not worth the stick: Important	I hate needles and it’s not worth the stick: Fairly important	I hate needles and it’s not worth the stick: Very important	I hate needles and it’s not worth the stick: N/A
I am not willing to be a “guinea pig”	I am not willing to be a “guinea pig”: Not at all important	I am not willing to be a “guinea pig”: Slightly important	I am not willing to be a “guinea pig”: Important	I am not willing to be a “guinea pig”: Fairly important	I am not willing to be a “guinea pig”: Very important	I am not willing to be a “guinea pig”: N/A
I got the first shot and it made me sick so I think I’m good now	I got the first shot and it made me sick so I think I’m good now: Not at all important	I got the first shot and it made me sick so I think I’m good now: Slightly important	I got the first shot and it made me sick so I think I’m good now: Important	I got the first shot and it made me sick so I think I’m good now: Fairly important	I got the first shot and it made me sick so I think I’m good now: Very important	I got the first shot and it made me sick so I think I’m good now: N/A