|
|
You are invited to participate in this online research survey entitled the New Jersey College Influenza Vaccination Survey. You are included in this survey because the New Jersey Department of Health (NJDOH) is collecting information to determine estimates of flu vaccination coverage on college campuses. The number of subjects to be enrolled in the study will be based on the number of students who choose to participate among the total number of students enrolled at the participating colleges and universities. The survey may take approximately 3 minutes to complete. Your participation is voluntary. If you do not wish to participate in this survey, do not respond to this online survey. Completing this survey indicates that you are voluntarily giving consent to participate in the survey. We expect the study to last through the end of December 2024. The purpose of this research study is to collect information regarding flu vaccination status among college students in the state of New Jersey. The survey will be available to all colleges and universities within the state. Participation by the higher education institutions is voluntary. There are no risks or discomforts associated with this survey. There may be no direct benefit to you, however, by participating in this study, you may help us understand additional details regarding flu vaccination including: identifying motivating factors, commonly utilized vaccination facilities, and estimates of overall coverage rates for participating campuses. |
Your response will be kept confidential. We will store the data in a secure computer file and the file will be destroyed once the data has been published. Any part of the research that is published as part of this study will not include your individual information. If you have any questions about the survey, you can contact the NJDOH Vaccine Preventable Disease Program at 609-826-4861, or at the address provided below, but you do not have to give your personal identification. New Jersey Department of Health Vaccine Preventable Disease Program PO Box 369 Trenton, NJ 08625-0369
|
Please complete the checkboxes below.
|
1. |
To participate in this survey, you must be 18 years or older, and attend one of the participating institutions.
Please select {0} response(s)
|
2. |
Completing this survey indicates that you are voluntarily giving consent to participate in the survey
Please select {0} response(s)
|
3. |
College/University Name
|
4. |
Age (in years)
|
5. |
Year of study
An answer is required
|
6. |
Did you receive the flu vaccine for the current flu season (on or after August 2024)?
|
|
There are errors in the page. Please correct the errors before moving forward.
|
|
|
|
|
Online Survey Software
Powered by novisurvey.net |