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. 2019 Mar 19;15(5):1092–1099. doi: 10.1080/21645515.2019.1572409

Table 4.

The content of the survey questionnaire.

Content domain Item Response format and category
Hesitant Not sure Non-hesitant
Behavior 1. Have you ever delayed your child’s vaccination for reasons other than illness or allergy? Yes Not sure No
2. How sure that following the recommended schedule is good for your child? 0–5 points 6–7 points 8–10 points
3. It is my role as a parent to question vaccinations. Strongly Agree/Agree Not sure Disagree/Strongly Disagree
4. If you had another infant today, would you intend to get all the recommended vaccinations? No Not sure Yes
5. Overall, how hesitant about childhood vaccinations would you consider yourself to be? Somewhat hesitant/Very hesitant Not sure Not at all hesitant/Not too hesitant
Beliefs 6. Children receiving more vaccinations are good for them. Disagree/Strongly Disagree Not sure ‘Strongly Agree/Agree
7. I believe that many of the illnesses prevented by vaccines are severe. Disagree/Strongly Disagree Not sure ‘Strongly Agree/Agree
8. It is better for my child to develop immunity by getting sick than vaccination. ‘Strongly Agree/Agree Not sure Disagree/Strongly Disagree
9. It is better for children to get fewer vaccines at the same time. ‘Strongly Agree/Agree Not sure Disagree/Strongly Disagree
10. How concerned about the potential serious side effect following vaccination? Somewhat concerned/Very concerned Not sure Not at all concerned/Not too concerned
11. How concerned about the vaccine efficacy? Somewhat concerned/Very concerned Not sure Not at all concerned/Not too concerned
Attitudes 12. The only reason for get childhood vaccinations is they can enter daycare or school. Yes Not sure No
Trust 13. I trust the information received about vaccine. Disagree/Strongly Disagree Not sure ‘Strongly Agree/Agree
14. I can discuss my concern on vaccines with my doctors openly. Disagree/Strongly Disagree Not sure ‘Strongly Agree/Agree
15. Overall, how much do you trust your child’s vaccination doctor? 0–5 points 6–7 points 8–10 points