Yes	No	I don’t know
I am aware of the influenza symptoms
I am aware of the severity of influenza
I am aware of the patients at high risk from the influenza infection
I am aware there is a vaccine against influenza
The influenza vaccine is effective
The influenza vaccine should be taken during a specific time of the year (If answer is Yes, specify Month ex: Oct, Nov, Jan...)
The influenza vaccine is safe
The influenza vaccine is for children only