| Strongly Disagree | Disagree | Somewhat Disagree | Neutral | Somewhat Agree | Agree | Strongly Agree | |
| 1. Vaccine safety data is often fabricated. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 2. Immunizing children is harmful, and this fact is covered up. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 3. Pharmaceutical companies cover up the dangers of vaccines. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 4. People are deceived about vaccine efficacy. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 5. Vaccine efficacy data is often fabricated. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 6. People are deceived about vaccine safety. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| 7. The government is trying to cover up the link between vaccines and autism. | 1 | 2 | 3 | 4 | 5 | 6 | 7 |