ASPA
COVID-19 PUBLIC EDUCATION CAMPAIGN A
campaign to increase vaccine acceptance and reinforce basic
prevention measures
CET – Annotated Questionnaire (Wave 34)
Note: The questions below are the proposed questions for the thirty-fourth wave of the Weekly Current Events Tracker (CET). Questions highlighted in yellow will be asked every week; questions highlighted in blue will be rotated into the survey on a monthly basis; and questions highlighted in green are meant to be asked in Wave 34 only or are being asked again to update data on a variable of interest. We will be fielding new questions about boosters, side effects, pending Pfizer approval in children, parents’ preferred vaccine location, vaccine mandates, pandemic strain on the medical system, current assessment of the pandemic, and anticipated holiday plans.
|
Standard Questions
Modular Questions
One-Time or Repeat Questions Being Asked Again to Update Data
For the next section we would like to talk about current events.
// Page Break //
//BASE: All respondents//
Item #: Q1
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh1_cet_r. Have you received a COVID-19 vaccine?
Variable Label: beh1_cet_r: Vaccination behavior
Value |
Value Label |
0 |
No, I have not received a COVID-19 vaccine |
1 |
Yes, but I have only received one shot out of the two required shots |
2 |
Yes, I have received all of the required shots |
-99 |
Refused |
// Page Break //
//PROGRAMMING NOTE: beh1_cet_r =1 or 2//
Item #: Q2
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vaccine_id. Which COVID-19 vaccine did you receive?
Variable Label: vaccine_id: Vaccine ID
Value |
Value Label |
2 |
Johnson & Johnson/Janssen |
3 |
Moderna |
4 |
Pfizer-BioNTech |
5 |
Other |
99 |
I do not remember |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//PROGRAMMING NOTE: beh1_cet_r =2 & vaccine_id=3-5//
Item #: Q3
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_side_effects. Thinking back to the second dose of your COVID-19 vaccine, what was your experience with side effects? Please rate your experience with side effects from “none” to “very severe.”
Variable Label: vacc_side_effects: Experience with vaccine side effects after second dose
Value |
Value Label |
1 |
None, I did not experience any side effects |
2 |
Mild |
3 |
Moderate |
4 |
Severe |
5 |
Very severe |
99 |
I do not remember |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q4
Question Type: Multi punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig. Do any of the following conditions apply to you? Please select all that apply.
Variable Label: booster_elig: Current booster eligibility
Value |
Value Label |
1 |
Age 65 years and older |
2 |
Age 18+ who lives or works in a long-term care setting (e.g., nursing home, assisted living facility, inpatient setting, section 811 HUD-assisted housing, etc.) |
3 |
Age 18+ with an underlying medical condition (e.g., cancer, chronic lung diseases, liver disease, overweight and obesity, current or former smoker, etc.) |
4 |
Age 18+ who lives or works in a high-risk setting (e.g., first responder, education staff, food and agricultural worker, corrections officer, grocery store worker, etc.) |
5 |
Age 18+ with a moderately or severely compromised immune system (e.g., receiving active cancer treatment, received an organ transplant, primary immunodeficiency, advanced or untreated HIV infection, etc.) |
6 |
None of the above [EXCLUSIVE] |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet_r =2//
Item #: Q5
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_uptake2. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. Have you received a COVID-19 vaccine booster shot?
Variable Label: booster_uptake2: Booster uptake – September guidance
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//PROGRAMMING NOTE: booster_uptake2=1//
Item #: Q6
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_side_effects. Thinking back to your COVID-19 vaccine booster shot, what was your experience with side effects? Please rate your experience with side effects from “none” to “very severe.”
Variable Label: booster_side_effects: Experience with vaccine side effects after second dose
Value |
Value Label |
1 |
None, I did not experience any side effects |
2 |
Mild |
3 |
Moderate |
4 |
Severe |
5 |
Very severe |
99 |
I do not remember |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: (((booster_uptake2=0) & ((booster_elig=1-6 & vaccine_id=4) OR (booster_elig=5 & vaccine_id=3-4)))//
Item #: Q7
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig_uptake. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. You are currently eligible to receive a COVID-19 vaccine booster shot. What is the likelihood that you will get one?
Variable Label: booster_elig_uptake: Booster uptake likelihood – eligible adults
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: (booster_uptake2=0 & booster_elig=6)//
Item #: Q8
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_likely_v. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. What is the likelihood that you will get a COVID-19 vaccine booster shot if eligible?
Variable Label: booster_likely_v: Booster uptake likelihood – vaccinated adults
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: beh1_cet_r =0 OR -99//
Item #: Q9
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh2a_cet. What is the likelihood that you will get a COVID-19 vaccine?
Variable Label: beh2a: Intention to get vaccinated
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet_r =1//
Item #: Q10
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh2b_cet. What is the likelihood that you will complete COVID-19 vaccination?
Variable Label: beh2b_cet: Intention to complete vaccination
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: beh1_cet_r =0 OR -99//
Item #: Q11
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3a_cet_r. How soon will you get vaccinated?
Variable Label: beh3a_cet_r: Wait to get vaccinated
Value |
Value Label |
1 |
I will get a vaccine as soon as I can |
2 |
I will wait to get a vaccine for one or more reasons |
3 |
I will never get a COVID-19 vaccine |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//PROGRAMMING NOTE: beh1_cet_r =1//
Item #: Q12
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3b_cet_r. How soon will you get the second required dose?
Variable Label: beh3b_cet_r: Wait to complete vaccination
Value |
Value Label |
1 |
I will get the second required shot as soon as I can |
2 |
I will wait to get the second required shot for one or more reasons |
3 |
I will never get the second required COVID-19 shot |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet_r =0 OR -99//
Item #: Q13
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_likely_un. U.S. health officials and medical experts announced that COVID-19 vaccine booster shots are recommended for some groups of people to maintain full protection against the virus. Does this make you more likely, less likely, or not affect whether you will get a COVID-19 vaccine?
Variable Label: booster_likely_un: Booster impact on vaccine uptake – unvaccinated
Value |
Value Label |
1 |
Much less likely |
2 |
Somewhat less likely |
3 |
Not affect |
4 |
Somewhat more likely |
5 |
Much more likely |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q14
Question Type: Multi punch
// Soft Prompt: “We would like your response to this question.” //
parent. Are you the parent of a child or children in the following age groups?
Variable Label: parent: Parent of children in following age groups
Value |
Value Label |
1 |
Younger than 6 months old |
2 |
6 months to <2 years old |
3 |
2 to 4 years old |
4 |
5 to 11 years old |
5 |
12 to 15 years old |
6 |
16 to 17 years old |
99 |
None of the above, I do not have children in those age groups [EXCLUSIVE] |
-99 |
Refused |
// Page Break //
//BASE: Parent= 5-6//
Item #: Q15
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
child_vaxxed_2. Has your child(ren) in the following age group(s) received a COVID-19 vaccine?
Note: If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: child_vaxxed_2: Child vaccinated
//PROGRAMMING NOTE: PIPE 5 AND/OR 6 responses from parent//
Value |
Value Label |
|
child_vaxxed_2_5 |
12 to 15 years old |
child_vaxxed_5: 12 to 15 years old |
child_vaxxed_2_6 |
16 to 17 years old |
child_vaxxed_6: 16 to 17 years old |
Value |
Value Label |
0 |
No, has not received a COVID-19 vaccine |
1 |
Yes, but has only received one shot out of the two required shots |
2 |
Yes, has received all of the required shots |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: Parent= 4-6//
Item #: Q16
Question Type: Multi punch grid
// Soft Prompt: “We would like your response to this question.” //
child_vaxx_loc. Where would you prefer to get your child(ren) in the following age groups vaccinated? Please select all that apply.
Note: If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: child_vaxx_loc: Preferred location of child vaccination
//PROGRAMMING NOTE: randomize variables in grid//
Value |
Value Label |
|
child_vaxx_loc_5to11 |
5 to 11 years old [Show if parent=4] |
child_vax_loc_5to11: Location of vaccination 5 to 11 years old |
child_vaxx_loc_12to17 |
12 to 17 years old [Show if parent=5-6] |
child_vaxx_loc_12to17: 16 to 17 years old |
Value |
Value Label |
1 |
A doctor’s office |
2 |
A clinic |
3 |
A pharmacy |
4 |
At school |
5 |
On-site at special events (e.g., festival, sporting event, concert, etc.) |
6 |
A community vaccination site |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q17
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
pfizer_pending. Pfizer-BioNTech recently submitted data to the FDA on the safety and effectiveness of its COVID-19 vaccine for children ages 5 to 11 years old. An FDA panel plans to meet later this month to discuss granting the Pfizer-BioNTech vaccine emergency use authorization (EUA) for children ages 5 to 11 years old.
Please indicate how much you agree or disagree with the following statements:
Variable Label: pfizer_pending: Perceptions of pending Pfizer authorization for children
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
pfizer_pending_1 |
I expect the FDA panel to grant the Pfizer-BioNTech vaccine an EUA for children ages 5 to 11 years old. |
pfizer_pending_1: Expect the EUA |
pfizer_pending_2 |
I am confident that the EUA decision will be driven by the science. |
pfizer_pending_2: Driven by the science |
pfizer_pending_3 |
I am concerned that the EUA decision will be affected by politics. |
pfizer_pending_3: Affected by politics |
pfizer_pending_4 |
I think it is critical that children ages 5 to 11 years old are able to get a COVID-19 vaccine as soon as possible. |
pfizer_pending_4: Critical young children get vaccinated |
pfizer_pending_5 |
If the Pfizer-BioNTech vaccine is granted an EUA, I plan to get my 5- to 11-year-old child(ren) vaccinated. [Show if parent=4] |
pfizer_pending_5: Plan to get child(ren) vaccinated |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Somewhat disagree |
3 |
Neither agree nor disagree |
4 |
Somewhat agree |
5 |
Strongly agree |
99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q18
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
employ_vacc. Do any of the following employment situations apply to you?
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
employ_vacc_1 |
I am currently employed by the federal government. |
employ_vacc_1: Employee of federal government |
employ_vacc_2 |
I am currently a contractor working with the federal government. |
employ_vacc_2: Employee of federal contractor |
employ_vacc_3 |
I currently work or volunteer in a health care setting (e.g., hospital, nursing home, dialysis facility, ambulatory surgical setting, home health agency, etc.) that receives Medicare or Medicaid reimbursement. |
employ_vacc_3: Health care employee |
employ_vacc_4 |
I currently work for a private employer that has 100 or more employees. |
employ_vacc_4: Employee of large private employer |
Value |
Value Label |
0 |
No |
1 |
Yes |
99 |
I don’t know |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet=0 OR -99 AND (employ_vacc_1=1 OR employ_vacc_2=1 OR employ_vacc_3=1 OR employ_vacc_4=1)//
Item #: Q19-Q20
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
mandate_intent. President Biden recently announced a new national strategy to combat the pandemic. Parts of this approach include:
Requiring that all employees of companies with 100+ employees receive a COVID-19 vaccine or workers who choose to remain unvaccinated produce a negative COVID-19 test on at least a weekly basis before coming to work
Requiring that all federal workers or contractors that work with the federal government receive a COVID-19 vaccine, with limited exemptions for health or religious reasons
Requiring that all staff or volunteers in a health care setting (e.g., hospital, nursing home, dialysis facility, ambulatory surgical setting, home health agency, etc.) that receives Medicare or Medicaid reimbursement receive a COVID-19 vaccine
Employers with 100+ employees will be required to provide paid time off for employees to get vaccinated and to recover from post-vaccination side effects.
Please indicate how much you agree or disagree with the following statements:
Variable Label: mandate_intent: Intentions to comply with employer vaccination mandates
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
mandate_intent_1 |
I was already planning to get vaccinated, so the mandates do not impact me. |
mandate_intent_1: Plan to get vaccinated |
mandate_intent_2 |
Because of mandates, I will get vaccinated right away. |
mandate_intent_2: Will get vaccinated because of mandates |
mandate_intent_3 |
I will wait to get vaccinated until a mandate is enforced. |
mandate_intent_3: Wait to get vaccinated until mandate enforced |
mandate_intent_4 |
I wasn’t sure if I should get a COVID-19 vaccine, but because of the mandate, I will. |
mandate_intent_4: Was not sure about getting vaccinated |
mandate_intent_5 |
Despite the mandate I will wait to get vaccinated because the courts may rule against them. |
mandate_intent_5: Will wait because of courts |
mandate_intent_6 |
I would rather quit my job than be required to get a COVID-19 vaccine. |
mandate_intent_6: Rather quit job |
mandate_intent_8 |
I plan to do weekly COVID-19 testing instead of getting a COVID-19 vaccine, even if I have to pay for it myself. [Show if employ_vacc_4=1] |
mandate_intent_8: Weekly testing, even if employee pays for it |
mandate_intent_9 |
I plan to do weekly COVID-19 testing instead of getting a COVID-19 vaccine, but only if my employer pays for it. [Show if employ_vacc_4=1] |
mandate_intent_9: Weekly testing, but only if employer pays for it |
mandate_intent_10 |
I think it is fair to require employees to pay for their own weekly COVID-19 testing if they choose not to get a COVID-19 vaccine. |
mandate_intent_10: Fair to make employee pay for testing |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Somewhat disagree |
3 |
Neither agree nor disagree |
4 |
Somewhat agree |
5 |
Strongly agree |
99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q21
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
mandates_perc. President Biden recently announced a new national strategy to combat the pandemic. Part of this approach includes requiring that all employees of companies with 100+ employees receive a COVID-19 vaccine or workers who choose to remain unvaccinated produce a negative COVID-19 test on at least a weekly basis before coming to work
How much do you agree or disagree with the following statements:
//PROGRAMMING NOTE: RANDOMIZE options //
mandates_perc_1 |
It is fair for employers to fire employees that do not want to get a COVID-19 vaccine. |
mandates_perc_1: Fair for employees to be fired |
mandates_perc_2 |
People should have the option to get weekly COVID-19 testing instead of being required to get a COVID-19 vaccine. |
mandates_perc_2: People should have option of weekly testing |
mandates_perc_3 |
People should be allowed to claim a religious exemption from getting a COVID-19 vaccine. |
mandates_perc_3: Religious exemptions should be allowed |
mandates_perc_4 |
I think these mandates are moving people to get vaccinated. |
mandates_perc_4: Mandates moving people to get vaccinated |
mandates_perc_5 |
Layoffs of employees at airline companies, hospitals, law enforcement facilities, etc., are concerning to me. |
mandates_perc_5: Layoffs concerning |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Somewhat disagree |
3 |
Neither agree nor disagree |
4 |
Somewhat agree |
5 |
Strongly agree |
99 |
I don’t know |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q22
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
med_strain. Because of the recent surge in hospitalizations of unvaccinated people infected with COVID-19, many local hospitals and clinics have had to delay or postpone non-essential or elective surgeries and other procedures. In the past three months, have you or any of the following people had to delay or postpone at least one non-essential or elective surgery or procedure?
med_strain_1 |
Yourself |
med_strain_1: Yourself |
med_strain_2 |
Immediate family member(s) |
med_strain_2: Immediate family |
med_strain_3 |
Extended family member(s) |
med_strain_3: Extended family |
med_strain_4 |
Friends |
med_strain_4: Friends |
med_strain_5 |
Acquaintance(s), colleague(s), or other(s) in your social network |
med_strain_5: Others in network |
Value |
Value Label |
0 |
No |
1 |
Yes |
99 |
I don’t know |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q23
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
pandemic_assess. How much do you agree or disagree with the following statements:
//PROGRAMMING NOTE: RANDOMIZE options //
pandemic_assess_1 |
The worst of the pandemic is behind us. |
pandemic_assess_1: Worst behind us |
pandemic_assess_2 |
I am concerned about a surge in new COVID-19 cases this fall and winter. |
pandemic_assess_2: Concerned about a new surge |
pandemic_assess_3 |
I think we’re headed in the right direction when it comes to combatting the pandemic. |
pandemic_assess_3: Headed in right direction |
pandemic_assess_4 |
I feel better about the safety and effectiveness of the COVID-19 vaccines than I did at the start of the year. |
pandemic_assess_4: Feel better about the vaccines |
pandemic_assess_5 |
I trust the federal government to provide me with accurate information when it comes to the COVID-19 pandemic. |
Pandemic_assess_5: Trust the federal government |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Somewhat disagree |
3 |
Neither agree nor disagree |
4 |
Somewhat agree |
5 |
Strongly agree |
99 |
I don’t know |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q24
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
holiday_plans. Thinking ahead to the upcoming Thanksgiving and winter holiday season, how much do you expect your plans to differ from pre-pandemic holiday years in the following ways?
Variable Label: holiday_plans: Expected differences in holiday plans
//PROGRAMMING NOTE: RANDOMIZE options //
holiday_plans_1 |
Frequency of travel |
holiday_plans_1: Frequency of travel |
holiday_plans_2 |
Location(s) of travel |
holiday_plans_2: Location(s) of travel |
holiday_plans_3 |
Mode of travel (e.g., plane, car, etc.) |
holiday_plans_3: Mode of travel |
holiday_plans_4 |
Size and type of gatherings |
holiday_plans_4: Size and type of gatherings |
holiday_plans_5 |
People you gather with |
holiday_plans_5: People you gather with |
Value |
Value Label |
1 |
Stay the same |
2 |
Differ slightly |
3 |
Differ somewhat |
4 |
Differ a great deal |
98 |
Not applicable |
99 |
I am not sure yet |
-99 |
Refused |
// Page Break //
// BASE: All respondents//
Item
#: Q25
Question
Type: Single
punch grid
//
Soft Prompt: “We would like your response to this
question.”//
ptn_w34
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below messages, please indicate how much you agree or disagree with the following statement:
“I would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines.”
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
ptn_w34_1 |
Many people who are vaccinated with the Pfizer BioNTech COVID-19 vaccine are eligible for a booster shot. |
ptn_w34_1: Many eligible for booster |
ptn_w34_2 |
Certain people may need increased protection against COVID-19, making them eligible for a booster shot six months after their final dose. |
ptn_w34_2: Certain people may need additional protection |
ptn_w34_3 |
People under 30 can experience lingering health problems for months from the virus that causes COVID-19. In contrast, vaccine side effects almost always go away within a few days. |
ptn_w34_3: Young people can experience long COVID |
ptn_w34_4 |
Very few vaccinated people get seriously ill or need hospital care for COVID. |
ptn_w34_4: Few vaccinated people are hospitalized |
ptn_w34_5 |
Vaccines help prevent COVID from spreading because vaccinated people are much less likely to get COVID. In uncommon breakthrough COVID cases, vaccinated people are contagious for a shorter time than unvaccinated people. |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
99 |
Refused |
For
internal communications only
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |