ASPA
COVID-19 PUBLIC EDUCATION CAMPAIGN A
campaign to increase vaccine acceptance and reinforce basic
prevention measures
CET – Annotated Questionnaire (Wave 42)
Note: The questions below are the proposed questions for the forty-second 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 42 only or are being asked again to update data on a variable of interest. We will be fielding questions about boosters, the Omicron variant, mandates, and parents’ vaccination decisions. |
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 //
//BASE: beh1_cet_r=2//
Item #: Q3
Question Type: Dropdown menu
// Soft Prompt: “We would like your response to this question.” //
fully_vacc_month. In which month were you considered fully vaccinated (i.e., two weeks after your final COVID-19 vaccine dose)? If you do not remember the specific month, give your best guess.
Variable Label: fully_vacc_month: Month of vaccination
Value |
Value Label |
1 |
December, 2020 |
2 |
January, 2021 |
3 |
February, 2021 |
4 |
March, 2021 |
5 |
April, 2021 |
6 |
May, 2021 |
7 |
June, 2021 |
8 |
July, 2021 |
9 |
August, 2021 |
10 |
September, 2021 |
11 |
October, 2021 |
12 |
November, 2021 |
13 |
December, 2021 |
-99 |
Refused |
// Page Break //
//PROGRAMMING NOTE: beh1_cet_r =2//
Item #: Q4
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig_know. Are you currently eligible to receive a COVID-19 vaccine booster shot?
Variable Label: booster_elig_know: Booster eligibility knowledge
Value |
Value Label |
0 |
No |
1 |
Yes |
99 |
I don’t know |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: beh1_cet_r =2//
Item #: Q5
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_uptake3. U.S. health officials and medical experts now recommend COVID-19 vaccine booster shots for people six months after their second dose of an mRNA vaccine (Pfizer-BioNTech and Modern) or two months after their dose of the Johnson & Johnson vaccine. Have you received a COVID-19 vaccine booster shot?
Variable Label: booster_uptake3: Booster uptake – September guidance
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: booster_uptake3=1//
Item #: Q6
Question Type: Dropdown menu
// Soft Prompt: “We would like your response to this question.” //
booster_month. In which month did you receive a COVID-19 booster shot? If you do not remember the specific month, give your best guess.
Variable Label: booster_month: Month received booster shot
Value |
Value Label |
1 |
June, 2021 |
2 |
July, 2021 |
3 |
August, 2021 |
4 |
September, 2021 |
5 |
October, 2021 |
6 |
November, 2021 |
7 |
December, 2021 |
-99 |
Refused |
// Page Break //
//BASE: (booster_uptake3=0 & vaccine_id=3-4 & fully_vacc_month=1-7 OR (booster_uptake3=0 & vaccine_id=2 & fully_vacc_month=1-11) //
Item #: Q7
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_elig_uptake3. 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_uptake3: 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_uptake3=0 & vaccine_id=2 & fully_vacc_month=12-13) OR (booster_uptake3=0 & vaccine_id=3-4 & fully_vacc_month=8-13)//
Item #: Q8
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_likely_v2. What is the likelihood that you will get a COVID-19 vaccine booster shot when eligible?
Variable Label: booster_likely_v2: Booster uptake likelihood – not yet eligible
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_elig_uptake3= 1-5 OR booster_likely_v2=1-5//
Item #: Q9
Question Type: Open-ended
// Soft Prompt: “We would like your response to this question.” //
booster_oe_2.
[Show if booster_elig_uptake3= 1-3 OR booster_likely_v2=1-3] Why are you unlikely to, or “neither likely nor unlikely,” to get a COVID-19 vaccine booster shot?
[Show booster_elig_uptake3= 4-5 OR booster_likely_v2=4-5] Why are you likely to get a COVID-19 vaccine booster shot?
Variable Label: booster_oe_2: Open-ended booster uptake
________________________________________________________________________________________________________________________________________________________
// Page Break //
//PROGRAMMING NOTE: booster_elig_uptake3 =1-5 OR booster_likely_v2 =1-5//
Item #: Q10
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
booster_id_likely. If you were to get a COVID-19 vaccine booster shot, which shot would you prefer to receive?
Variable Label: booster_id_likely: Booster ID - likelihood
Value |
Value Label |
2 |
Johnson & Johnson/Janssen |
3 |
Moderna |
4 |
Pfizer-BioNTech |
5 |
Other |
97 |
I don’t have a preference |
98 |
I don’t know |
99 |
None of the above, I would not get a COVID-19 booster shot |
-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.” //
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 =0 OR -99//
Item #: Q12
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 |
// Page Break //
//BASE: All respondents//
Item #: Q13
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
dem3a. Has your employer mandated or required that you get a COVID-19 vaccine?
Variable Label: dem3a: Employer mandate
Value |
Value Label |
0 |
No |
1 |
Yes |
99 |
I don’t know |
-99 |
Refused |
// Page Break //
//BASE: dem3a=1//
Item #: Q14
Question Type: Dropdown menu
// Soft Prompt: “We would like your response to this question.” //
dem3b_2. When did this employer mandate or requirement take effect? If you do not remember the specific month, give your best guess.
Variable Label: dem3b_2: Date of employer mandate
Value |
Value Label |
1 |
December, 2020 |
2 |
January, 2021 |
3 |
February, 2021 |
4 |
March, 2021 |
5 |
April, 2021 |
6 |
May, 2021 |
7 |
June, 2021 |
8 |
July, 2021 |
9 |
August, 2021 |
10 |
September, 2021 |
11 |
October, 2021 |
12 |
November, 2021 |
13 |
December, 2021 |
-99 |
Refused |
-100 |
Valid skip |
//BASE: All respondents//
Item #: Q15
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= 4-6//
Item #: Q16
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 4 AND/OR 5 AND/OR 6 responses from parent//
Value |
Value Label |
|
child_vaxxed_2_4 |
5 to 11 years old |
child_vaxxed_2_4: 5 to 11 years old |
child_vaxxed_2_5 |
12 to 15 years old |
child_vaxxed_2_5: 12 to 15 years old |
child_vaxxed_2_6 |
16 to 17 years old |
child_vaxxed_2_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= 1-6//
Item #: Q17
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
child_covid_concern. How concerned are you about your child(ren) in the following age groups getting COVID-19?
Note: If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: child_covid_concern: Concern about child(ren)’s COVID-19 risk
//PROGRAMMING NOTE: PIPE 1-6 responses from parent//
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 |
Refused |
Value |
Value Label |
1 |
Not concerned |
2 |
Slightly concerned |
3 |
Somewhat concerned |
4 |
Very concerned |
5 |
Child has already had COVID |
-99 |
Refused |
// Page Break //
//BASE: Parent=1-6//
Item #: Q18
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
vacc_child_parent. If a COVID-19 vaccine was authorized and available for children in the following age groups, how likely would you be to get your child(ren) vaccinated?
Note: COVID-19 vaccines have now been authorized and are available for use in children as young as 5 years old. If you have more than one child in the same age group, please answer for at least one of them.
Variable Label: vacc_child_parent: Parent likelihood to get child(ren) vaccinated
//PROGRAMMING NOTE: PIPE 1-6 responses from parent.//
Variable Name |
Variable Text |
Variable Label |
vacc_child_parent_6m |
Younger than 6 months old |
vacc_child_parent_6m: Younger than 6-months-old |
vacc_child_parent_6mto2 |
6 months to <2 years old |
vacc_child_parent_6mto2: 6 months- to 2-years-old |
vacc_child_parent_2to4 |
2 to 4 years old |
vacc_child_parent_2to4: 2- to 4-years-old |
vacc_child_parent_5to11 |
5 to 11 years old [ONLY SHOW IF child_vaxxed_2_4=0 or 99] |
vacc_child_parent_5to11: 5- to 11-years-old |
vacc_child_parent_12to15 |
12 to 15 years old [ONLY SHOW IF child_vaxxed_2_5=0 or 99] |
vacc_child_parent_12to15: 12- to 15-years-old |
vacc_child_parent_16to17 |
16 to 17 years old [ONLY SHOW IF child_vaxxed_2_6=0 or 99] |
vacc_child_parent_16to17: 16- to 17-years-old |
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: Parent= 1-6//
Item #: Q19
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
child_vaccine_concern. How concerned are you about your child(ren) in the following age groups having any side effects from 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_vaccine_concern: Concern about child(ren)’s vaccine risk
//PROGRAMMING NOTE: PIPE 1-6 responses from parent//
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 |
Value |
Value Label |
1 |
Not concerned |
2 |
Slightly concerned |
3 |
Somewhat concerned |
4 |
Very concerned |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE All respondents//
Item #: Q20
Question Type: Single-punch grid
// Soft Prompt: “We would like your response to this question.” //
omicron_con. How concerned are you about the Omicron variant of the COVID-19 virus?
Variable Label: omicron_con: Concern about Omicron variant
Value |
Value Label |
1 |
Not at all concerned |
2 |
Slightly concerned |
3 |
Somewhat concerned |
4 |
Very concerned |
99 |
I am not familiar with this COVID-19 variant |
99 |
Refused |
// Page Break //
//BASE: booster_uptake3=0 & omicron_con=1-4//
Item #: Q21
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
omicron_booster. Please indicate how much you agree or disagree with the following statements:
Variable Label: omicron_booster: Omicron’s effect on booster uptake
//PROGRAMMING NOTE: randomize variables in grid//
Variable Name |
Variable Text |
Variable Label |
omicron_booster_1 |
The new Omicron variant makes me more likely to get a COVID-19 booster shot. [Show if booster_uptake3=0] |
omicron_booster_1: Omicron increases booster uptake |
omicron_booster_2 |
I plan to get a COVID-19 booster shot because I am concerned about waning immunity to COVID-19 given the emergence of the Omicron variant. [Show if booster_uptake3=0] |
omicron_booster_2: Get booster because of waning immunity |
omicron_booster_3 |
I plan to wait to get a COVID-19 booster shot until more is known about the Omicron variant. [Show if booster_uptake3=0] |
omicron_booster_3: Wait to get booster until more is known about Omicron |
omicron_booster_4 |
I recently got a COVID-19 booster shot because I am concerned about the Omicron variant. [Show if booster_month=12-13] |
omicron_booster_4: Recently got booster because of Omicron |
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: omicron_con=1-4//
Item #: Q22-Q24
Question Type: Single punch grid
// Soft Prompt: “We would like your response to this question.” //
omicron_perc. Please indicate how much you agree or disagree with the following statements:
Variable Label: omicron_perc: Perceptions of Omicron
//PROGRAMMING NOTE: randomize variables in grid, split across three pages (5 questions each)//
Variable Name |
Variable Text |
Variable Label |
omicron_perc_1 |
I am worried that the Omicron variant will lead to more breakthrough infections among vaccinated people. |
omicron_perc_1: Lead to breakthroughs |
omicron_perc_2 |
I am worried that the current COVID-19 vaccines will be less effective against the Omicron variant. |
omicron_perc_2: Current vaccines less effective |
omicron_perc_3 |
I am worried that the Omicron variant will lead to more severe cases of COVID-19. |
omicron_perc_3: Lead to more severe cases |
omicron_perc_4 |
I am worried that Omicron will spread more easily than previous COVID-19 variants. |
omicron_perc_4: Be more transmissible |
omicron_perc_5 |
I am worried that Omicron will have a greater impact on children than the original COVID-19 virus. |
omicron_perc_5: Greater impact on children |
omicron_perc_6 |
I am worried about major outbreaks of COVID-19 in low-vaccination areas of the country because of the Omicron variant. |
omicron_perc_6: Major outbreaks |
omicron_perc_7 |
Bringing back restrictions such as masking and social distancing will be important for fighting the Omicron variant. |
omicron_perc_7: Reinstating restrictions |
omicron_perc_8 |
Because of the Omicron variant, I am more likely to encourage others to get a COVID-19 vaccine. |
omicron_perc_8: Encourage others to get vaccinated |
omicron_perc_9 |
The Omicron variant makes me more likely to get vaccinated. [show if beh1_cet_r=0] |
omicron_perc_9: Increase vaccine uptake |
omicron_perc_10 |
The Omicron variant makes me more likely to get the second dose of the COVID-19 vaccine. [show if beh1_cet_r=1] |
omicron_perc_10: Personally worried about breakthrough infection |
omicron_perc_11 |
I think that the threat of the Omicron variant is overblown. |
omicron_perc_11: Think threat is overblown |
omicron_perc_12 |
I am less likely to get vaccinated because of the Omicron variant. [show if beh1_cet_r=0] |
omicron_perc_12: Less likely to get vaccinated |
omicron_perc_13 |
I intend to scale back holiday travel plans or social events because of the Omicron variant. |
omicron_perc_13: Delay holiday plans |
omicron_perc_14 |
It is too early to tell whether the Omicron variant will be a serious public health threat. |
omicron_perc_14: Too early to tell |
omicron_perc_15 |
I am worried about another increase in COVID-19 cases because of the Omicron variant. |
omicron_perc_15: Another wave |
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
#: Q25
Question
Type: Single
punch grid
//
Soft Prompt: “We would like your response to this
question.”//
ptn_w42
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_w42 _1 |
Even mild cases of COVID-19 have caused damage to the lungs, heart, brain, and many other organs, leading to an increased risk of long-term health problems such as strokes or seizures. |
ptn_w42_1: Mild cases can lead to long COVID |
ptn_w42 _2 |
As the temperature drops and people gather indoors, COVID-19 will have more opportunities to spread. You can help stop it by getting vaccinated. |
ptn_w42_2: More opportunities to spread COVID in winter |
ptn_w42 _3 |
You may choose any of the 3 COVID-19 vaccines as a booster shot, regardless of the type or brand of vaccine you received before. |
ptn_w42_3: Can receive any of the three boosters |
ptn_w42 _4 |
To stay safer this winter, get a COVID-19 booster 6 months after your second Pfizer or Moderna vaccine or 2 months after your Johnson & Johnson dose. |
ptn_w42_4: Booster eligibility timeline |
ptn_w42 _5 |
The COVID-19 virus continues to produce new variants, but getting a vaccine, or a booster if you’re already vaccinated, can help protect you. |
ptn_w42_5: Vaccines protects against new variants |
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 |