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 |