| Agree/Disagree Questions |
At least one of the COVID-19 vaccines is safe. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
I am concerned about the side effects of the COVID-19 vaccines. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
At least one of the COVID-19 vaccines is effective at preventing death or severe disease. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
I am concerned about the rapid development and FDA approval of at least one of the COVID-19 vaccines. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
The vaccines are necessary because COVID-19 is a serious threat. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
It is better to develop natural immunity to COVID-19 than to get vaccinated. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
As a future physician, I must learn about the safety and efficacy of vaccines for myself and my patients. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
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I have received sufficient education about vaccines and their safety in medical school. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
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It is my role as a future physician to question the safety and efficacy of the COVID-19 vaccines. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
I would not encourage patients to get the COVID-19 vaccine. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
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I feel comfortable discussing patients’ concerns about the COVID-19 vaccines. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
The government should not set mandates with respect to COVID-19 vaccinations. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
The COVID-19 vaccination should be mandatory for all medical students. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
The only reason I will get a COVID-19 vaccine is if it is mandated by health systems/medical school. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
To protect public health, we should follow government guidelines about the COVID-19 vaccine. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
Being vaccinated against COVID-19 helps protect other people from getting sick. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| |
COVID-19 vaccination should be a personal choice. |
1 = Strongly Disagree, 2 = Slightly Disagree, 3 = Slightly Agree, 4 = Strongly Agree |
| Yes/No Questions |
I have received at least one dose of the COVID-19 vaccine. |
Yes / No |
| |
I am required to receive the COVID-19 vaccine by my school or clinical site. |
Yes / No |
| |
I care for or have cared for COVID-19 patients during medical school. |
Yes / No |
| My most trusted source of vaccine information is: |
My most trusted source of vaccine information is: |
Medical school curricula, Public health organizations, Medical literature, News and media, Social media, Friends/family, Other (fill in) |
| Demographics |
What is your program? |
M.D. / D.O. |
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What is your current year of medical education? |
OMS/MS-I, OMS/MS-II, OMS/MS-III, OMS/MS-IV |
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Location of medical school |
Large Urban (1,000,000+), City (250,000-999,999), Suburban (25,000-250,000), Rural (<25,000), Prefer not to answer |
| |
Size of hometown |
Large Urban (1,000,000+), City (250,000-999,999), Suburban (25,000-250,000), Rural (<25,000), Prefer not to answer |
| |
Political viewpoint |
Very conservative, Slightly conservative, Neutral, Slightly liberal, Very liberal, Independent, Other, Prefer not to answer |
| |
Religion |
Atheist, Agnostic, Ancient religion, Buddhist, Christian, Hindu, Jehovah’s Witness, Jewish, Latter-day Saints, Muslim, Orthodox-Greek, Orthodox-Russian, Protestant, Roman Catholic, Sikh, Traditional/Folk religion, Not religious, Other, Prefer not to answer |
| |
Gender |
Female, Male, Non-Binary, Transgender, Self-describe, Prefer not to answer |
| Free Response |
Further opinions about COVID-19 vaccines |
Open-ended |
