Identification number
Respondent's province
Gender of the respondent
Marital status of the respondent
Level of education
Health care worker
Monthly income (family) categorized
Household  Members
Residence of the repondent
Were you diagnosed as having COVID-19?
Was any of your family members affected?
Do you have any chronic disease?
Do you have any members in your family who are over 60 years old?
Did you take any vaccine within the last few years?
Reason for not taking vaccine in last few years - I am afraid of the needle
Reason for not taking vaccine in last few years - Vaccine is costly
Reason for not taking vaccine in last few years - I didn't need a vaccine
Reason for not taking vaccine in last few years - A vaccine has side effects
Reason for not taking vaccine in last few years - I don't know where to get a va
Reason for not taking vaccine in last few years - I don't know about vaccine
Reason for not taking vaccine in last few years - Specify the other reason for n
Are you worried about catching coronavirus?
Do you believe that coronavirus disease would be a mild illness for you?
Do you think too much fuss is being made about the risk of coronavirus?
Do you think we are all responsible for reducing the spread of coronavirus?
Do you believe you are immune to coronavirus?
Did the coronavirus pandemic have a big impact on your life?
Do you think vaccination should be made mandatory for everyone?
Do you think people who are at risk of serious illness from coronavirus should b
Are you afraid/concerned about the safety/side effects of the COVID-19 vaccine?
Do you agree to take the COVID-19 vaccine if it is not free?
Do you think vaccines will work against COVID-19?
When a coronavirus vaccination becomes available to you, will you take?
reason for hesitating - I am afraid of the needle
reason for hesitating -  I am not sure if the vaccine will be free or not
reason for hesitating - The vaccine might have side effects/safety concerns
reason for hesitating -  I don't know for how many days I can get protection by
reason for hesitating - For religious beliefs/reasons
reason for hesitating -  I don't know where to get the vaccine
reason for hesitating - I don't know about vaccine
reason for hesitating - Please specify the reason for not taking the vaccine