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Child’s Vaccination History |
Vaccination Schedule |
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HPV Knowledge & Status |
HPV Knowledge |
How did you hear about the HPV vaccine?
What would you say to your friend if she asked, “What is the HPV vaccine and who is it for?
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Child HPV vaccine status |
Are your children ages 11–18 vaccinate with the HPV vaccine?
At what age did he/she get vaccinated?
Did he/she get all 3 shots?
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Physician Recommendation |
Discussion with the physician about the HPV vaccine |
How did you hear about the HPV vaccine?
When did the doctor mention the vaccine?
What did the doctor say about the vaccine?
What questions did you ask your doctor regarding the vaccine?
How old was your child when the doctor mentioned the vaccine?
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HPV vaccine recommendation |
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Motivators & Barriers to Vaccinating Child with HPV Vaccine |
Vaccinating child(ren) with HPV vaccine |
May I ask why you chose to vaccinate your child with the HPV vaccine? |
Not vaccinating child(ren) with HPV vaccine |
May I ask why you chose not to vaccinate your child with the HPV vaccine? |