North Central District Health Department
What’s Keeping You From Getting TheCOVID-19 Vaccine?
If you have not received a COVID-19 vaccine yet, once a vaccine to prevent COVID-19 is available to you? Would you...
Definitely get a vaccine
Probably get a vaccine
Be unsure about getting a vaccine
Probably NOT get a vaccine
Definitely NOT get a vaccine
I already received a vaccine
Which of the following, if any, are reasons that you are unlikely to get a COVID-19 Vaccine?
The side effects
Unknown long-term effects
I do not think it will work
I already had COVID-19
I do not think it is safe
I do not trust vaccines
I do not trust COVID-19 vaccines
I do not like needles
I do not want to take it away from someone else who might need it more
I do not trust the government
I plan to use masks or other percautions instead
I do not believe COVID-19 is a serious illness
What would help you to take the vaccine? (check all that apply)
Seeing public officials taking the vaccine
Talking to a doctor or nurse about my concerns
Understanding how it benefits me
Understanding why it is important to my family and community
Having someone come to my home or job to give it
Transportation to a vaccination site
How have you seen information on local vaccination clinics?
Flyers at store or offices
Direct contact from health department personnel
Which of the followings define your concerns about getting the vaccine?
I have concerns about the vaccine's side effects, long-term safety and efficacy
I have religious reasons
I do not believe it will be a solution for Coronavirus disease
I believe that it will have negative effects on my health
Please provide any additional thoughts you may have on why you feel it is important to get the COVID-19 Vaccine or not:
Clear All Questions
Should be Empty: