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. 2022 Jul 2;161:107125. doi: 10.1016/j.ypmed.2022.107125

Table A1.

Cross-sectional national survey questions for Canadian parents' perceptions of COVID-19 vaccination and intention to vaccinate their children.

Variable Question and Response options
Sample characteristics
Gender What is your gender? (Select all that apply)
Woman, Man, Gender non-conforming, Transgender, Two-spirit, Not listed please specify
Highest level of education What is the highest level of education you have completed?
Some high school or less; High school diploma or equivalent; Registered Apprenticeship or other trades certificate or diploma; College, CEGEP or other non-university trade, certificate, or diploma; University certificate or diploma below bachelor's level; Bachelor's degree; Post graduate degree above bachelor's level; Prefer not to answer
Household income To the best of your knowledge, what is the total combined income before tax of everyone living in your household?
$19,999 or less; Between $20,000 and $39,999; Between $40,000 and $59,999; Between $60,000 and $79,999; Between $80,000 and $99,999; Between $100,000 and $249,000; $250,000 or more; Prefer not to answer
Marital status What is your current marital status?
Single, Married/Common law, Divorced/Separated, Widowed, Prefer not to answer, Not listed please specify
Parents' number and ages of children 0–17 years Are you the parent/primary guardian (e.g., birth parent, foster parent, stepparent, adoptive parent) who makes the health care decisions for one or more children 17 years old or younger??
Drop down answers for number and age of each child
Province In which province or territory do you live?
British Columbia; Alberta; Saskatchewan; Manitoba; Ontario; Quebec; New Brunswick; Nova Scotia; Prince Edward Island; Newfoundland; Northwest Territories; Yukon; Nunavut
Parents new to Canada in the past 5 years For respondents not born in Canada: When did you come to Canada?
Between 2016 and 2020; Between 2011 and 2015; Before 2011
Language spoken most often at home Which language do you speak most often at home? (drop-down list, select one)
English, French, Anishinini, Atikamekw, Dakota/Sioux, Dene, Innu, Inuktitut, Mi'kmaq, Michif, Nehiyawewin (Cree), Ojibwe, Siksiká (Blackfoot), Arabic, Cantonese, German, Gujarati, Farsi, Italian, Korean, Mandarin, Polish, Portuguese, Punjabi, Russian, Spanish, Tagalog, Tamil, Urdu, Vietnamese, Other please specify
Self-identified ethnicity What is your ethnic or cultural origin? (Select all that apply)
White (e.g., Caucasian, European, etc.), Black (e.g., African, Haitian, Jamaican, etc.) Latin / Central American (e.g., Mexican, Colombian, Brazilian, Cuban, etc.), Arabic/West Asian/North African (e.g., Armenian, Egyptian, Iranian, Lebanese, Moroccan, etc.), East Asian (e.g., Chinese, Filipino, Japanese, Korean, Vietnamese, etc.), South Asian (e.g., Indian, Sri Lankan, etc.), Other please specify, Prefer not to answer
Indigenous groups Do you self-identify as First Nations, Métis, or Inuk? [No] [Yes, please specify]
First Nations, Métis, Inuk, Other please specify, Prefer not to answer
Parents receipt of a COVID-19 vaccine Have you received any doses of a COVID-19 vaccine? (parents)
Yes, No
Children's receipt of a COVID-19 vaccine Has your 12–17-year-old child received any doses of a COVID-19 vaccine?
Yes, No
Questions for parents with a child 5–11 years
Parents' COVID-19 vaccination intention for their child 5–11 years Do you intend to get a COVID-19 vaccine for your child who is 5–11 years old, when a vaccine is recommended for them?
Yes, I am undecided, No
Reasons parents intend to vaccinate their child What is the main reason you would get a COVID-19 vaccine for your child (5–11)?
It would be a personal choice; If it is mandated for my child (e.g., required for school, recreational/social activities, or travel)
Parents' COVID-19 vaccination influencers What would influence your personal choice to get your child (5–11 years) vaccinated? (Select: top influence, 2nd reason, 3rd reason)
To protect my child from COVID-19; To protect our family from COVID-19; To prevent the spread of COVID-19 in our community; To end the pandemic and return to normal life; Because it is recommended by experts and health care providers; Other please specify; Not sure
Reasons parents are undecided/no intention to vaccinate their children What are the main reasons you are undecided or do not intend to get a COVID-19 vaccine for your child (5–11 years)? (select all that apply)
It is a new vaccine; The vaccine has been developed too quickly because of the pandemic; I'm concerned about the safety of the vaccine (it will cause my child harm); I'm concerned that the vaccine will not be effective (it won't work for my child); I don't trust vaccines in general for my child; My child dislikes needles; My child can't be vaccinated due to medical reasons (e.g., allergies, existing health condition); Other please specify
COVID-19 vaccine administration with influenza vaccine If it was recommended, would you get a COVID-19 vaccine at the same time as the influenza vaccine for your child (5–11 years)
Yes, I am undecided, No
COVID-19 vaccine administration with routine vaccines If it was recommended, would you get a COVID-19 vaccine at the same time as routine vaccines (e.g., measles, meningococcal) for your child (5–11 years)?
Yes, I am undecided, No
COVID-19 vaccine administration at school If it is offered, would you agree to have your child (5–11 years) receive the COVID-19 vaccine at school?
Yes, I am undecided, No
Questions for parents with a child aged 2–4 years
Parents' COVID-19 vaccination intention for their child 2–4 years Do you intend to get a COVID-19 vaccine for your child who is 2–4 years old, when a vaccine is recommended for them?
Yes, I am undecided, No
COVID-19 vaccine administration with influenza vaccine If it was recommended, would you get a COVID-19 vaccine at the same time as the influenza vaccine for your child (2–4 years)?
Yes, I am undecided, No
COVID-19 vaccine administration with routine vaccines If it was recommended, would you get a COVID-19 vaccine at the same time as routine vaccines (e.g., measles, meningococcal) for your child (2–4 years)?
Yes, I am undecided, No
Questions for parents with a child aged 6–23 months
Parents' COVID-19 vaccination intention for their child 6–23 months Do you intend to get a COVID-19 vaccine for your child who is 6–23 months old, when a vaccine is recommended for them?
Yes, I am undecided, No
COVID-19 vaccine administration with influenza vaccine If it was recommended, would you get a COVID-19 vaccine at the same time as the influenza vaccine for your child (6–23 months)?
Yes, I am undecided, No
COVID-19 vaccine administration with routine vaccines If it was recommended, would you get a COVID-19 vaccine at the same time as routine vaccines (e.g., measles, meningococcal) for your child (6–23 months)?
Yes, I am undecided, No
Questions for parents regarding their children of various ages
Parents' acceptance of COVID-19 booster vaccines If a third dose of COVID-19 vaccine was recommended, would you get it for your children (6 months - 11 years)?
Yes, I am undecided, No
Parents' acceptance of COVID-19 annual vaccination If it was recommended, would you get a COVID-19 vaccine every year for your child (6 months - 11 years) (similar to the seasonal influenza vaccine)?
Yes, I am undecided, No
Acceptable age of self-consent In your opinion, at what age should a child be able to decide on their own (self-consent) whether to get a COVID-19 vaccine?
<11, 11, 12, 13, 14, 15, 16, 17, 18, older than 18, I am undecided
Preference of COVID-19 vaccine effectiveness versus side effects When thinking about vaccinating your child(ren) (6 months - 17 years), what vaccine would you choose?
A vaccine that is more effective even if it has more side effects; A vaccine with less side effects even if it was less effective; Any vaccine recommended and available to my child
Access to COVID-19 vaccines Do you expect that you will have difficulty accessing COVID-19 vaccine services for your child(ren) (6 months - 17 years)?
No; Yes, the vaccination locations are not accessible; Yes, making a vaccination appointment will not be easy; Yes, I don't have a regular health care provider (e.g., family doctor) for my child; Yes, I'm too busy with other competing priorities in my life; I don't know; Other please specify
Easiest location to access COVID-19 vaccines What would be the easiest location for you to get the COVID-19 vaccine for your child(ren) (6 months - 17 years)?
Doctor's office, Pharmacy, Public health centre, A temporary vaccination centre, My child's school, My child's daycare or before/after school care, Mobile vaccination clinic, Other please specify
Parents' perspective of easy vaccination services What would make getting a COVID-19 vaccine for your child(ren) (6 months - 17 years) easy for you?
No appointment required (Drop-in/walk-in clinic); COVID-19 vaccine services close to the community I live or work in; Having transportation to/from vaccination clinics; Paid time off from work to get vaccinated; Vaccination information in the language I understand best; Culturally safe and welcoming vaccination settings; Allow my whole family to be vaccinated at the same time; Improve access to vaccination services for children with disabilities; Other, please specify; Prefer not to answer; Other please specify
Barriers to accessing COVID-19 vaccines Everyday stress (such as competing priorities or many demands on my time) will prevent me from getting the COVID-19 vaccine.
Strongly disagree, Disagree, Neither agree nor disagree, Agree, Strongly agree
Open-ended How can health officials in Canada improve information and/or access to COVID-19 vaccines for parents deciding whether to vaccinate their children?
Open ended, No answer, Prefer not to answer