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. 2019 Mar 19;15(5):1100–1105. doi: 10.1080/21645515.2019.1568160

Table 4.

Questions related to infection and vaccination in the questionnaire.

NUMBER QUESTION
Q1 Have you got vaccine shot in recent five years? The types of vaccine included influenza, pneumococcal, herpes zoster, hepatitis A, hepatitis B, Human papillomavirus (HPV), rabies, tetanus and others.
Q2 Have you heard of influenza vaccine?
Q3 Have you heard of pneumococcal vaccine?
Q4 Have you heard of herpes zoster vaccine?
Q5 Do you know where you can get the vaccine shots mentioned above?
Q6 Is there any doctor who recommend you to take the vaccine shots mentioned above?
Q7 Have you ever had pneumonia, influenza or herpes zoster infection in recent five years?
Q8 Did you have tuberculosis before?
Q9 Do you have the antibodies of HBV?
Q10 It won’t be serious if I get flu.
Q11 It could be serious if I have pneumonia.
Q12 I won’t have flu if I take flu vaccine.
Q13 A person who has not taken flu vaccine will be more likely to get flu than the other people taking flu vaccines.
Q14 I won’t easily get pneumonia if I get pneumococcal vaccine.
Q15 Basic medical insurance would cover influenza vaccine and pneumococcal vaccine.
Q16 I am still not willing to get vaccine shots although medical insurance could cover the vaccine fee.
Q17 I believe vaccine is safe and reliable.
Q18 I believe it takes huge risks to be vaccinated.
Q19 I have routes to get known of knowledge about vaccine.
Q20 I know I need to take flu vaccine because of my age and disease.
Q21 I don’t know I need to take pneumococcal vaccine because of my age and disease.
Q22 I have family members or friends having taking influenza or pneumococcal vaccine before.
Q23 Why am I unwilling to take influenza or pneumococcal vaccine?
Q24 If now doctors suggest you take influenza or pneumococcal vaccine, are you willing to take the vaccine?