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ARD Consulting Online Survey on the Perceptions and Experiences of COVID-19 Vaccines in Sierra Leone
36
Questions
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1
Inform Consent
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We are a team of Sierra Leonean researchers from the Alliance for Research and Development Consulting (ARD Consulting). We are conducting research in Sierra Leone on perceptions and experiences of COVID-19 vaccine side effects. This involves an online survey and follow-up in-depth phone-based interviews with individuals 18 years and above who got vaccinated for COVID-19 in Sierra Leone and residing in Sierra Leone at the time of the survey. We would like to carry out this survey and a follow up interview with you to understand your experiences during and post COVID-19 vaccination and ask you some questions related to previous vaccination experiences. This study has been reviewed and approved by the Sierra Leone Ethics and Scientific Review Committee, which makes sure that people who take part in research studies in Sierra Leone are protected from unnecessary harm. After reading and understanding this information, you will be able to decide whether you want to take part in this study. If you decide to take part, we will ask you to consent to join the study. Please note that your decision to take part is entirely voluntary. It is completely up to you to decide whether to take part in this study. If you decide to take part, you may drop out at any time, for any reason. There are no direct benefits for participating in this study. However, the information you will provide us will help us to understand the experiences of people who got vaccinated with COVID-19 vaccines in Sierra Leone. After you have read this and feel that you understand what you will have to do, please
click
YES below to continue or NO to decline. Clicking YES means you have given consent to take part in this online survey
YES
NO
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2
Respondent's Age (years)
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18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 and Above
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3
Respondent's Educational level:
*
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No formal education
Primary
Junior Secondary
Senior Secondary
College/University
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4
Respondent's occupational status:
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Employed
Unemployed
Retired
Student/Pupil
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5
Respondent's residential area
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Western area
Northern Region
Eastern Region
Southern Region
North-West Region
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6
Respondent's sex
*
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Male
Female
Other
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7
Respondent's nationality
*
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Sierra Leonean
African citizen
non-African citizen
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8
Respondent's marital status
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Married
Not Married
Widowed
Divorced
Co-habiting
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9
Have you or your child/family member ever received routine vaccination?
*
This field is required.
Yes
No
Can't remember
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10
If yes, which of the following best describes your/their experiences post vaccination. Tick all that apply
Nothing happened
Muscle pain at the injection site
Redness at the injection site
Fever
Headache
Swollen at the site of injection
Nausea
Fatigue
Sleeplessness
Abnormal blood pressure (increase or decrease)
Vomiting
Death
Developed life-threatening side effects
Other
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11
This section deals with your perceptions before you got the COVID-19 vaccines.
*
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Where did you first hear about COVID-19?
MoHS
WHO
Local radio station
International radio station
Local newspaper
Social media -tick tok, WhatsApp, twitter, Facebook, Instagram, etc
Family/friends
Local leaders
Google search
Other
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12
Do you trust the source(s)?
*
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Yes, I trust the source(s) highly
Yes, I trust the source(s) a little
No, I do not trust the source(s)
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13
Do you think you have natural immunity to COVID-19?
YES
NO
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14
Have you ever been infected with COVID-19?
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Yes
No
I do not know
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15
Before you got vaccinated, which of the following do you agree with?
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This field is required.
Strongly Agree
Agree
Strongly Disagree
Disagree
COVID-19 is real?
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I can be infected with COVID-19?
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Row 1, Column 3
I can be protected from COVID-19 without the vaccine?
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
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COVID-19 vaccines are effective
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COVID-19 vaccines are safe
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COVID-19 vaccines are dangerous
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Row 5, Column 3
I never trusted the vaccines
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Row 6, Column 3
Those who get vaccinated will be infected with COVID-19
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Those who get vaccinated will die in two years
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Row 8, Column 3
People will be paid to get vaccinated with COVID-19 vaccines
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
COVID-19 vaccines are free
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
COVID-19 vaccines are safe.
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Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
COVID-19 is real?
I can be infected with COVID-19?
I can be protected from COVID-19 without the vaccine?
COVID-19 vaccines are effective
COVID-19 vaccines are safe
COVID-19 vaccines are dangerous
I never trusted the vaccines
Those who get vaccinated will be infected with COVID-19
Those who get vaccinated will die in two years
People will be paid to get vaccinated with COVID-19 vaccines
COVID-19 vaccines are free
COVID-19 vaccines are safe.
Strongly Agree
Row 0, Column 0
Agree
Row 0, Column 1
Strongly Disagree
Row 0, Column 2
Disagree
Row 0, Column 3
Strongly Agree
Row 1, Column 0
Agree
Row 1, Column 1
Strongly Disagree
Row 1, Column 2
Disagree
Row 1, Column 3
Strongly Agree
Row 2, Column 0
Agree
Row 2, Column 1
Strongly Disagree
Row 2, Column 2
Disagree
Row 2, Column 3
Strongly Agree
Row 3, Column 0
Agree
Row 3, Column 1
Strongly Disagree
Row 3, Column 2
Disagree
Row 3, Column 3
Strongly Agree
Row 4, Column 0
Agree
Row 4, Column 1
Strongly Disagree
Row 4, Column 2
Disagree
Row 4, Column 3
Strongly Agree
Row 5, Column 0
Agree
Row 5, Column 1
Strongly Disagree
Row 5, Column 2
Disagree
Row 5, Column 3
Strongly Agree
Row 6, Column 0
Agree
Row 6, Column 1
Strongly Disagree
Row 6, Column 2
Disagree
Row 6, Column 3
Strongly Agree
Row 7, Column 0
Agree
Row 7, Column 1
Strongly Disagree
Row 7, Column 2
Disagree
Row 7, Column 3
Strongly Agree
Row 8, Column 0
Agree
Row 8, Column 1
Strongly Disagree
Row 8, Column 2
Disagree
Row 8, Column 3
Strongly Agree
Row 9, Column 0
Agree
Row 9, Column 1
Strongly Disagree
Row 9, Column 2
Disagree
Row 9, Column 3
Strongly Agree
Row 10, Column 0
Agree
Row 10, Column 1
Strongly Disagree
Row 10, Column 2
Disagree
Row 10, Column 3
Strongly Agree
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Agree
Row 11, Column 1
Strongly Disagree
Row 11, Column 2
Disagree
Row 11, Column 3
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16
When COVID-19 vaccines arrived in Sierra Leone, were you willing to get vaccinated?
*
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Definitely
Not sure
Definitely not
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17
How ready were you to get COVID-19 vaccine when it became available for your cohort
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I wanted it immediately
I wanted it within a month
I wanted it in 2 - 3 months
I wanted it in 4 - 6 months
I wanted it in 7 - 9 months
I wanted it in 10 -12 months
I did not plan to get the vaccine
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18
Which of the following do you think will happen to you if you take COVID-19 vaccine?
*
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Be infected with COVID-19
Die immediately or within days
Die within two or three years
Develop life-threatening side effects
Muscle pain at the injection site
Fever
Headache
Redness at the injection site
Swollen at the site of injection
Nausea
Shortness of breath
Fatigue
Blood clots
Sleeplessness
Abnormal blood pressure (increase or decrease)
Vomiting
Irregular menstruation
Impotence
Infertility
Other serious vaccine reactions
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19
In this section, we want to understand your experiences when you got vaccinated with the COVID-19 vaccines
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Did you pay for any of the services during your COVID-19 vaccination visit(s)? Tick all that apply
I was told to pay for the vaccine due to low supply
I paid for vaccine needles and syringes
I paid vaccinators for their services
I paid staff to go for the vaccine from the closest center/PHU
I was told to put cash in the box to motivate staff
I willingly motivated staff with cash/water at the vaccination center
Didn't pay anything
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20
Which type of COVID-19 vaccine did you receive?
*
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J&J
AstraZeneca
Pfizer
Sinopharm
I don’t know
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21
How many times have you been vaccinated with COVID-19 vaccine?
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One time
Two times
Three times
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22
Are you fully vaccinated?
*
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YES
NO
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23
If you are not fully vaccinated against COVID-19, which of the following best describe reasons for not being fully vaccinated:
Not yet time for me to take my second or third dose
Don’t know where to go for the boost vaccination
No vaccination site in my vicinity
It is expensive to get to the closest vaccination center
Negative attitude of the vaccination staff
I do not have money to pay for the second dose
I had serious side effects when I took the first/second vaccine, so, I will not take another vaccine
I was told not to take another dose on social media
Family/friends advised me against the second/third dose
COVID-19 vaccine unavailability during my vaccination visit
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24
What was your experience after receiving COVID-19 vaccine?
*
This field is required.
I was infected with COVID-19
Muscle pain at the injection site
Fever
Headache
Redness at the injection site
Swollen at the site of injection
Nausea
Shortness of breath
Fatigue
Blood clots
Sleeplessness
Abnormal blood pressure (increase or decrease)
Vomiting
Irregular menstruation
Impotence
Infertility
Stigmatised
Other serious vaccine reactions
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25
What did you do when you experienced vaccine side effects? Tick all that apply
*
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I did nothing
Called 117 and was advised
Called 117 but call was not answered
Went to the vaccination center or health facility and reported
I took some pain killers
I took traditional treatment
I was admitted at the health facility for somedays
Had some rest
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26
How satisfied were you with the services you got when you reported with COVID-19 side effects?
Very satisfied
Satisfied
Unsatisfied
Highly unsatisfied
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27
Based on your experience with COVID-19 vaccine, would you: (
*
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Recommend your children to be vaccinated if they meet the age limit
Recommend your neighbours to be vaccinated
Recommend your friends, family, and relatives to be vaccinated
Recommend your congregation to be vaccinated (if religious leaders)
Recommend your subjects to be vaccinated (if community leaders)
I won’t recommend COVID-19 vaccines to anyone
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28
If you would not recommend COVID-19 vaccine to anyone, please state briefly your reason(s) here:
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Small
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Ok
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29
What do you think needs to be done to increase vaccination coverage? (
*
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Involve local leaders to lead the community mobilisation
Provide financial incentives for those that got vaccinated
Provide light refreshment for those that got vaccinated
Provide t-shirts, hand bands for those that got vaccinated
Involve more youth groups in awareness raising events for the COVID-19 vaccines
Vaccinate all our leaders openly
Use celebrities or social medial influencers/champions on (social) media
Do more clinical trials on the COVID-19 vaccines
Increase vaccination centers
None of the above
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30
If a clinical trial opens in Sierra Leone to test a COVID-19 vaccine candidate, would like to take part in this trial?
*
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Yes
No
Maybe
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31
Would you encourage your family members or friends to take part in a COVID-19 clinical trial?
*
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Yes
No
Maybe
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32
Follow up Interview
*
This field is required.
In addition to the above survey, our team of social scientists would like to have a short follow up interview with you to have a more detailed understanding of your COVID-19 vaccine experiences. If you would like to talk to them, please tick YES below. The interview will be informal, and you will be encouraged to talk freely about anything you feel is related to the questions. All interviews will be anonymous and confidential. The interview should take no longer than 45 minutes and you will be conducted on the telephone. If the interview takes longer and you need to leave to attend other duties, please feel free to let the interviewer know and you can continue with the interview some other time. Kindly note that the details you will provide will only be used to contact you for the interview and destroyed immediately after the interview.
YES
NO
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33
If you agreed to speak to one of our Social Scientists; kindly provide your contact details below:
Respondent's Full Name
First Name
Last Name
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34
Phone Number
Respondent's Phone Number
Area Code
Phone Number
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35
Email
Provide email address if available
example@example.com
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36
Appointment
Please book a date and time that you want to be contacted
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