NORC AmeriSpeak Omnibus Survey: 41% of Americans Do Not Intend to Get a Flu Shot this Season

Size: px
Start display at page:

Download "NORC AmeriSpeak Omnibus Survey: 41% of Americans Do Not Intend to Get a Flu Shot this Season"

Transcription

1 Omnibus Survey: 41% of Americans Do Intend to Get a Flu Shot this Season Interview Dates: November 14-19, 2018 Nationally representative sample of 1,202 English-speaking adults age 18 and over, conducted using the Panel, the probability-based panel of at the University of Chicago. Of the 1,202 respondents, 170 completed the survey by phone and 1032 via the web. Margin of error: +/ percentage points at the 95% confidence level among all adults NOTE: All results show percentages among respondents, unless otherwise labeled.

2 Page 2 Q1. Have you received a flu vaccine (shot or nasal spray) in the past three months? Age (N=253) Age (N=300) Age (N=305) Age 60+ (N=343) Yes No Don t Know Skipped

3 Page 3 If no to Q1 then: Q2. Do you plan to get a flu vaccine this season, that is, in the next 4 months? (N=673) Age (N=170) Age (N=196) Age (N=178) Age 60+ (N=129) Yes No Don t Know Skipped * * If no to Q1, and no to Q2 then: Q3. Which of the following are reasons you do not plan to get a flu vaccine? Q3A: I am allergic to the vaccine: a Don t Know Skipped * 2 Q3B: I don t like needles and shots: a Don t Know Skipped

4 Page 4 Q3C: I never get the flu: a Don t Know Skipped Q3D: I am unlikely to get very sick from the flu: a Don t Know Skipped * 2 Q3E: I don t have time to get the vaccination: a Don t Know Skipped Q3F: I am concerned about getting the flu from the vaccination: a Don t Know Skipped Q3G: I am concerned side effects from the vaccination other than getting the flu from the vaccine: a Don t Know Skipped

5 Page Q3H: I have an ongoing health condition that prevents me from getting the vaccination: a Don t Know Skipped Q3I: I believe that flu vaccines do not work very well: a Don t Know Skipped Q3J: I think the vaccine costs too much: a Don t Know Skipped Q3K: I do not want the vaccine for some other reason: a Don t Know Skipped * *

6 Page 6 Q4. How did last year s flu season in 2018 compare to normal in terms of the number of people who got sick or were hospitalized for the flu? Last year s season was more severe than usual Last year s season was less severe than usual About the same Don t Know Skipped Q5. Do you vaccinate your child(ren) (under 18 years of age) against the flu? I do not have children under 18 years of age Yes No Don t Know Skipped

7 Page 7 Demographics GENDER Male Female AGE RACE / ETHNICITY White, non- Black, non- Other, non- 2+, non Asian, non- EDUCATION Less than a high school diploma High school graduate or equivalent Some College College graduate or above

8 Page 8 MARITAL STATUS Married Divorced Widowed Separated Never Married Living with Partner EMPLOYMENT STATUS Working as a paid employee Working self employed working on a temporary layoff from a job working looking for work working - retired working - disabled working - other HOUSEHOLD INCOME Under $10,000 $10,000 $20,000 $20,000 $30,000 $30,000 $40,000 $40,000 $50,000 $50,000 $75,000 $75,000 $100,000 $100,000 $150, $150,000 or more REGION Northeast Midwest South West

Survey Title: Employee Engagement Survey Report Type: Top 5 High Schools with High Turnover

Survey Title: Employee Engagement Survey Report Type: Top 5 High Schools with High Turnover Survey Title: 2017-2018 Employee Engagement Survey Report Type: Top 5 High Schools with High Turnover Q24(c). I am engaged in my work. Strongly Disagree + Disagree 2 1.71% 1 0.78% 1 0.64% 1 0.61% 3 2.33%

More information

[H1N1 Pregnant Women Poll] Weighted Topline March 24, 2010

[H1N1 Pregnant Women Poll] Weighted Topline March 24, 2010 H1N1 Women Poll Topline Summary [H1N1 Women Poll] Weighted Topline March 24, 2010 Knowledge Networks fielded this study on behalf of the Harvard School of Public Health. Interviews were collected from

More information

THE AP-GfK POLL. Conducted by GfK Roper Public Affairs & Media

THE AP-GfK POLL. Conducted by GfK Roper Public Affairs & Media GfK Custom Research North America THE AP-GfK POLL Conducted by GfK Roper Public Affairs & Media Interview dates: July 16-July 20, 2009 Interviews: 1,006 adults Margin of error: +/- 3.1 percentage points

More information

[H1N1 New Mother Poll] Weighted Topline March 24, 2010

[H1N1 New Mother Poll] Weighted Topline March 24, 2010 H1N1 New Poll Topline Summary [H1N1 New Poll] Weighted Topline March 24, 2010 Knowledge Networks fielded this study on behalf of the Harvard School of Public Health. Interviews were collected from January

More information

National Survey of Young Adults on HIV/AIDS

National Survey of Young Adults on HIV/AIDS Topline Kaiser Family Foundation National Survey of Young Adults on HIV/AIDS November 30, 2017 The 2017 Kaiser Family Foundation National Survey of Young Adults on HIV/AIDS is based on interviews with

More information

THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A

THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A THE EMERGE SURVEY ON TAKING PART IN BIOBANK RESEARCH: VERSION A What is this survey about? This survey is about your views on taking part in medical research. We want to understand what you think about

More information

ARIC Data Book. Cohort, Exam 3. Personal History Form: FORM CODE=PHX VERSION=A

ARIC Data Book. Cohort, Exam 3. Personal History Form: FORM CODE=PHX VERSION=A Page 1 of 20 Personal History Form: FORM CODE=PHX VERSION=A Instructions: This form should be completed during the participant's visit. Whenever numerical responses are required, enter the number so that

More information

ASSOCIATED PRESS-LIFEGOESSTRONG.COM BOOMERS SURVEY JUNE 2011 CONDUCTED BY KNOWLEDGE NETWORKS July 18, 2011

ASSOCIATED PRESS-LIFEGOESSTRONG.COM BOOMERS SURVEY JUNE 2011 CONDUCTED BY KNOWLEDGE NETWORKS July 18, 2011 Interview dates: June 3 June 12, 2011 Interviews:1,416 adults, 1,078 boomers Sampling margin of error for a 50% statistic with 95% confidence is: ±4.4 for all adults; ±3.3 for boomers 2100 Geng Road Suite

More information

Harvard Opinion Research Program Harvard School of Public Health SWINE FLU (H1N1 VIRUS) SURVEY. April 29, 2009

Harvard Opinion Research Program Harvard School of Public Health SWINE FLU (H1N1 VIRUS) SURVEY. April 29, 2009 Harvard Opinion Research Program Harvard School of Public Health SWINE FLU (H1N1 VIRUS) SURVEY April 29, 2009 Research Team: Robert J. Blendon, Harvard School of Public Health, Project Director Gillian

More information

Harvard Opinion Research Program Harvard School of Public Health INFLUENZA A(H1N1)/ SWINE FLU SURVEY III. June 22-28, 2009

Harvard Opinion Research Program Harvard School of Public Health INFLUENZA A(H1N1)/ SWINE FLU SURVEY III. June 22-28, 2009 Harvard Opinion Research Program Harvard School of Public Health INFLUENZA A(H1N1)/ SWINE FLU SURVEY III June 22-28, 2009 Research Team: Robert J. Blendon, Harvard School of Public Health, Project Director

More information

FINAL TOPLINE. Diabetes Group. Qualities That Matter: Public Perceptions of Quality in Diabetes Care, Joint Replacement and Maternity Care

FINAL TOPLINE. Diabetes Group. Qualities That Matter: Public Perceptions of Quality in Diabetes Care, Joint Replacement and Maternity Care FINAL TOPLINE Group Qualities That Matter: Public Perceptions of Quality in Care, Joint Replacement and Maternity Care National Survey of adults recently diagnosed with type 2 diabetes about their perceptions

More information

Survey of Young Americans Attitudes toward Politics and Public Service 30th Edition: June 21 July 3, 2016

Survey of Young Americans Attitudes toward Politics and Public Service 30th Edition: June 21 July 3, 2016 Survey of Young Americans Attitudes toward Politics and Public Service 30th Edition: June 21 July 3, 2016 N=1,001 18-29 Year Olds in English and Spanish (with GfK KnowledgePanel i ) Margin of Error: +/-

More information

Food Labeling Survey ~ January 2019

Food Labeling Survey ~ January 2019 Food Labeling Survey ~ January 2019 1 Introduction Research Objective Understand consumer attitudes towards healthy labels and different food packaging aspects that drive purchase behavior. Sampling Research

More information

EVER HAD A FLU SHOT KEY MESSAGES

EVER HAD A FLU SHOT KEY MESSAGES EVER HAD A FLU SHOT KEY MESSAGES In Peel in 2011/2012, 58% of the population aged 12 years and older received a seasonal flu shot in the past year. This was significantly lower than Ontario (63%). There

More information

What do you need? A UK-wide survey of people with diagnosed HIV

What do you need? A UK-wide survey of people with diagnosed HIV A UK-wide survey of people with diagnosed HIV Area Sub-samples data report (March 2009) South East Coast Strategic Health Authority (n=117) This report uses data from the UK What Do You Need? Survey 2007-08,

More information

Americans Current Views on Smoking 2013: An AARP Bulletin Survey

Americans Current Views on Smoking 2013: An AARP Bulletin Survey Americans Current Views on Smoking 2013: An AARP Bulletin Survey November 2013 Americans Current Views on Smoking 2013: An AARP Bulletin Survey Report Prepared by Al Hollenbeck, Ph.D. Copyright 2013 AARP

More information

Center for Urban Initiatives and Research Wisconsin Public Health Survey December 2011 N=626. Frequency Tables (Weighted)

Center for Urban Initiatives and Research Wisconsin Public Health Survey December 2011 N=626. Frequency Tables (Weighted) Center for Urban Initiatives and Research Wisconsin Public Health Survey December 2011 N=626 Tables (Weighted) Section 1: Opinions about chronic disease, health care funding, and chronic disease-related

More information

Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey

Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey Soumyadeep Mukherjee 1, MBBS, DPH 1 PhD student, Dept. Of Epidemiology, Robert Stempel College

More information

KAREN J. SUNDBY, M.D. PLEASE COMPLETE THE FOLLOWING MEDICAL HISTORY FORM

KAREN J. SUNDBY, M.D. PLEASE COMPLETE THE FOLLOWING MEDICAL HISTORY FORM KAREN J. SUNDBY, M.D. PLEASE COMPLETE THE FOLLOWING MEDICAL HISTORY FORM Dr. Mr. Mrs. Ms. Miss New Patient or Returning Patient FULL LEGAL NAME: Reason for today s visit: Mohs Excision Skin Check other:

More information

Computing composite scores of patients report of health professional behaviour Summary, Methods and Results Last updated 8 March 2011

Computing composite scores of patients report of health professional behaviour Summary, Methods and Results Last updated 8 March 2011 Computing composite scores of patients report of health professional behaviour Summary, Methods and Results Last updated 8 March 2011 Summary: The patient questionnaire includes items which assess patients

More information

2010 Community Health Needs Assessment Final Report

2010 Community Health Needs Assessment Final Report 2010 Community Health Needs Assessment Final Report April 2011 TABLE OF CONTENTS A. BACKGROUND 3 B. DEMOGRAPHICS 4 C. GENERAL HEALTH STATUS 10 D. ACCESS TO CARE 11 E. DIABETES 12 F. HYPERTENSION AWARENESS

More information

AARP Bulletin Survey on Flu Prevention

AARP Bulletin Survey on Flu Prevention AARP Bulletin Survey on Flu Prevention December 2013 AARP Bulletin Survey on Flu Prevention Report Prepared by Laura Skufca Copyright 2013 AARP Research 601 E Street, NW Washington, DC 20049 http://www.aarp.org/research/

More information

2005 Public Opinion Survey Oral Health of the US Population

2005 Public Opinion Survey Oral Health of the US Population 2005 Public Opinion Survey Oral Health of the US Population Reports the most up-to-date information on the oral health of the US population. Topics include oral hygiene habits and dentist visits, use and

More information

Table of Contents. Section 1: Pharmacists Work Status and Demographics: All Licensed

Table of Contents. Section 1: Pharmacists Work Status and Demographics: All Licensed Table of Contents Acknowledgements... iv Executive Summary... 1-14 Introduction... 1 Objectives and Methods... 2 Questionnaire Design... 3 Sample Selection... 3 Survey Mailing... 4 Response Rate... 5 Assessment

More information

Bass Line :The African Health and Sex Survey

Bass Line :The African Health and Sex Survey Bass Line 2008-09 :The African Health and Sex Survey West Midlands Strategic Health Authority data report (n=401, June 2009) This document reports data from Bass Line 2008-09, an assessment of the sexual

More information

2011 Parent Survey Report

2011 Parent Survey Report Report Prepared For The Office Of Substance Abuse 2011 Parent Survey Report Prepared by Five Milk Street, Portland, Maine 04101 Telephone: 207.871.8622 Fax 207.772.4842 www.panatlanticsmsgroup.com TABLE

More information

DESCRIPTION OF FOLLOW-UP SAMPLE AT INTAKE SECTION TWO

DESCRIPTION OF FOLLOW-UP SAMPLE AT INTAKE SECTION TWO SECTION TWO DESCRIPTION OF FOLLOW-UP SAMPLE AT INTAKE 7 2.1 DEMOGRAPHIC CHARACTERISTICS Table 2.1 presents demographic descriptive data at intake for those who were included in the follow-up study. Data

More information

Participant Self-Assessment of Diabetes Management

Participant Self-Assessment of Diabetes Management Participant Self-Assessment of Diabetes Management Name: Date: Date of Birth: Age: Gender: F M Ethnic Background: White/Caucasian Black/African American Hispanic Native American-Alaska Asian/Pacific Islander

More information

Home and Community Based Services (HCBS)

Home and Community Based Services (HCBS) To Whom It May Concern: To be considered for membership, the following must be submitted: 1. A Fountain House Membership Application and supplementary substance abuse questionnaire (included at the end

More information

ARIC Data Book. Cohort, Exam 3. AFU Medical History Form. Data set name: AMHA02

ARIC Data Book. Cohort, Exam 3. AFU Medical History Form. Data set name: AMHA02 Page 1 of 22 AFU Medical History Form Data set name: AMHA02 Instructions: This form asks about a variety of health issues. It should be completed during the appropriate annual follow-up call. Whenever

More information

Cover Sheet for Example Documentation

Cover Sheet for Example Documentation Cover Sheet for Example Documentation Please complete the following form and submit along with your documentation. If you have any questions, please email us at accreditation@astho.org. The following documentation

More information

ARIC Data Book. Cohort, Exam 3. Vitamin Survey Form: FORM CODE=VIT VERSION=A

ARIC Data Book. Cohort, Exam 3. Vitamin Survey Form: FORM CODE=VIT VERSION=A Page 1 of 12 Vitamin Survey Form: FORM CODE=VIT VERSION=A Instructions: This form is completed in several stages by appropriately trained persons at the workstations identified for this purpose. Whenever

More information

Protect Yourself from Seasonal Flu

Protect Yourself from Seasonal Flu DECEMBER 2018 Protect Yourself from Seasonal Flu The Basics Everyone age 6 months and older needs to get a flu vaccine every year. Seasonal flu vaccines are the best way to protect yourself and others

More information

Key Facts about Seasonal Flu Vaccine from the Centers for Disease Control and Prevention

Key Facts about Seasonal Flu Vaccine from the Centers for Disease Control and Prevention Key Facts about Seasonal Flu Vaccine from the Centers for Disease Control and Prevention Why should people get vaccinated against the flu? Influenza is a serious disease that can lead to hospitalization

More information

Tableau Public Viz Tool

Tableau Public Viz Tool Tableau Public Viz Tool The purpose of this document is to provide descriptions of the Split By variables for the 2016 VoiceGR Survey results displayed in the Tableau Public Viz Tool. Once you have entered

More information

POMP Home-Delivered Meals

POMP Home-Delivered Meals POMP Home-Delivered Meals (Version: April 1, 2011) Now we are going to talk about home-delivered meals you receive from (Agency/Provider Name). HDM1. When was the last time you received a home-delivered

More information

ARIC Data Book. CHD Cohort Surveillance

ARIC Data Book. CHD Cohort Surveillance Page 1 of 14 Coroner/Medical Examiner Form Data set name: C17CORA1 Instructions: The Coroner/Medical Examiner Form is completed for each eligible out-of-hospital death that was identified as a coroner

More information

Consumer Sodium Research

Consumer Sodium Research Consumer Sodium Research Concern, Perceptions and Action April 2009 125 CambridgePark Drive Cambridge, MA 02140 www.cogentresearch.com TABLE OF CONTENTS 2 OBJECTIVES & METHODOLOGY EXECUTIVE SUMMARY RESEARCH

More information

HPV and Head & Neck Cancer Survey Master s Research Project

HPV and Head & Neck Cancer Survey Master s Research Project HPV and Head & Neck Cancer Survey Master s Research Project Sean Gallagher, RN, BSN, MA University of North Carolina at Chapel Hill School of Nursing This study is about human papillomavirus (HPV), which

More information

American Views of Contraception Coverage. Survey of 1,191 American Adults

American Views of Contraception Coverage. Survey of 1,191 American Adults American Views of Contraception Coverage Survey of 1,191 American Adults 2 Methodology The online survey of adult Americans was conducted November 14-16, 2012 A sample of an online panel representing the

More information

Appendix I: Methodology

Appendix I: Methodology Appendix I: Methodology METHODOLOGY SSRS conducted a survey of Muslims and Jews for the Institute for Social Policy and Understanding from January 8 to January 24, 2018. The study investigated the opinions

More information

DEM GOP INDY. Count % within PARTY 41.6% 9.4% 23.6% 25.0% Count % within PARTY 9.6% 4.4% 5.8% 6.6% Count

DEM GOP INDY. Count % within PARTY 41.6% 9.4% 23.6% 25.0% Count % within PARTY 9.6% 4.4% 5.8% 6.6% Count * PARTY Crosstabulation PARTY DEM GOP INDY Count 156 34 86 276 % within PARTY 41.6% 9.4% 23.6% 25.0% Count 36 16 21 73 % within PARTY 9.6% 4.4% 5.8% 6.6% Count 41 10 25 76 % within PARTY 10.9% 2.8% 6.9%

More information

8. Do you agree or disagree that President Obama committed an impeachable offense by ordering these U.S. citizens be killed?

8. Do you agree or disagree that President Obama committed an impeachable offense by ordering these U.S. citizens be killed? * PARTY Crosstabulation PARTY DEM GOP INDY Count 54 147 91 292 % within PARTY 14.4% 40.4% 25.0% 26.5% Count 23 50 55 128 % within PARTY 6.1% 13.7% 15.1% 11.6% Count 47 56 39 142 % within PARTY 12.5% 15.4%

More information

State Summary Table 1 Child Care Workers/ Educators. Teachers 3 Assistant Teachers 4 Directors FCCH Providers

State Summary Table 1 Child Care Workers/ Educators. Teachers 3 Assistant Teachers 4 Directors FCCH Providers Appendix D: State Summary Table N Studies = a. Demographic Mean Age (Years) 11 (VI) 10, (VII) 1 42 (CA) 30 (WI) - 43.1 (MN) 31.3-42.4 (MN) 39.5-48.3 (MN) 37 (WI) - 45.7 (CA) Median Age (Years) 2 (VI) 2

More information

NEW PATIENT DEMOGRAPHICS QUESTIONNAIRE

NEW PATIENT DEMOGRAPHICS QUESTIONNAIRE NEW PATIENT DEMOGRAPHICS QUESTIONNAIRE Today s : Patient Name: DOB: Race White/Caucasian Black/African American Asian Native American Alaskan Native Native Hawaiian Pacific Islander Other: Preferred Language:

More information

Attitudes, Beliefs, and Behaviors of Pregnant Women During the H1N1 Flu Season

Attitudes, Beliefs, and Behaviors of Pregnant Women During the H1N1 Flu Season Attitudes, Beliefs, and Behaviors of Pregnant Women During the H1N1 Flu Season Gillian SteelFisher, PhD, MSc Robert Blendon, ScD Mark Bekheit, JD Harvard Opinion Research Program Harvard School of Public

More information

CLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Proforma

CLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Proforma CLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Proforma Data should be submitted between 1 Aug 2017 31 Jan 2018. You can find the link to log into the data entry site at www.rcem.ac.uk/audits

More information

Transitional, Intergenerational Group Residence Application. Texas ID# Primary Language: Address: City, State, Zip Code: Phone-home ( ) Phone-work ( )

Transitional, Intergenerational Group Residence Application. Texas ID# Primary Language: Address: City, State, Zip Code: Phone-home ( ) Phone-work ( ) PERSONAL/FAMILY INFORMATION Name Date Date of Birth / / SS # Gender Texas ID# Primary Language: Marital Status: Single Divorced Common Law Living Together Married & living with Spouse not living with Spouse

More information

Prescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4.

Prescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4. How serious a public health problem in the State of New York is each of the following: [Q1A-Q1I ROTATED] Q1A. Alcohol abuse Very serious 61% 63% 53% 63% 36% 71% 52% Somewhat serious 35% 35% 38% 33% 52%

More information

The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV

The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV The Heterosexual HIV Epidemic in Chicago: Insights into the Social Determinants of HIV Nikhil Prachand, MPH Board of Health Meeting January 19, 2011 STI/HIV/AIDS Division Today s Presentation Epidemiology

More information

2017 TOBACCO USAGE COMMUNITY SURVEY. Tobacco-Free Action of Columbia Greene

2017 TOBACCO USAGE COMMUNITY SURVEY. Tobacco-Free Action of Columbia Greene 2017 TOBACCO USAGE COMMUNITY SURVEY Tobacco-Free Action of Table of Contents County 2017: Summary... 2 County 2017: Summary... 2 Smoking Behavior... 2 Display and Sale of Tobacco Products... 2 Attitudes

More information

Personal Information. Full Name: Address: Primary Phone: Yes No Provider Yes No. Alternate Phone: Yes No Provider Yes No

Personal Information. Full Name: Address: Primary Phone: Yes No Provider Yes No. Alternate Phone: Yes No Provider Yes No OFFICE USE ONLY: Date of Intake: ID#: Staff mbr: Personal Information Full Name: Address: _ Last First M.I. Street Address Apartment/Unit # City State Zip Code County Date of Birth: Age: Mobile phone?

More information

NATIONAL BENCHMARK SURVEY: IMPACT OF DOMESTIC VIOLENCE ON THE AMERICAN WORKPLACE

NATIONAL BENCHMARK SURVEY: IMPACT OF DOMESTIC VIOLENCE ON THE AMERICAN WORKPLACE NATIONAL BENCHMARK SURVEY: IMPACT OF DOMESTIC VIOLENCE ON THE AMERICAN WORKPLACE Commissioned by: The Corporate Alliance to End Partner Violence Sponsored by: Verizon Wireless Blue Shield of California

More information

Metro SHAPE MN State Epidemiological Outcomes Workgroup June 20 th, Updated on June 27, 2016

Metro SHAPE MN State Epidemiological Outcomes Workgroup June 20 th, Updated on June 27, 2016 Metro SHAPE 2014 MN State Epidemiological Outcomes Workgroup June 20 th, 2016 Updated on June 27, 2016 Survey Background An on-going public health surveillance and assessment of the health of Hennepin

More information

Reasons for cooperation and defection in real-world social dilemmas

Reasons for cooperation and defection in real-world social dilemmas Reasons for cooperation and defection in real-world social dilemmas (Attari, Krantz, and Weber, 2014) Final survey. Page breaks are indicated with a horizontal line and logic branches are indicated in

More information

Influenza Season Education

Influenza Season Education 2016-2017 Influenza Season Education What is Influenza (Flu) Influenza is an infection that is caused by a flu virus. There are many different types of flu viruses The flu affects the lungs, throat, nose,

More information

Funding Health and Long-Term Care: A Survey on Increasing North Carolina's Cigarette and Alcohol Taxes

Funding Health and Long-Term Care: A Survey on Increasing North Carolina's Cigarette and Alcohol Taxes Funding Health and Long-Term Care: A Survey on Increasing North Carolina's Cigarette and Alcohol Taxes Data Collected by Southeastern Institute of Research, Inc. Report Prepared by Rachelle Cummins Copyright

More information

Youth Social Action Survey Wave 2 Topline results

Youth Social Action Survey Wave 2 Topline results Youth Social Action Survey Wave 2 Topline results The following results are based on 2,021 interviews with young people aged 10-20 years. 2,021 interviews conducted and data processed among young people

More information

Multi-Country Opinion Research Survey TOPLINE RESULTS GLOBAL AVERAGE

Multi-Country Opinion Research Survey TOPLINE RESULTS GLOBAL AVERAGE Multi-Country Opinion Research Survey TOPLINE RESULTS GLOBAL AVERAGE KEY SPECIFICATIONS AUDIENCE: LEGAL AGE, GENERAL POPULATION ADULTS SAMPLE SIZE: n=31,002 GEOGRAPHY: ARGENTINA AUSTRALIA AUSTRIA BRAZIL

More information

Frequently Asked Questions Greater Dayton Area Hospital Association Kettering Health Network

Frequently Asked Questions Greater Dayton Area Hospital Association Kettering Health Network Frequently Asked Questions Greater Dayton Area Hospital Association Kettering Health Network Mandatory Influenza Vaccination Program The Greater Dayton Area Hospital Association (GDAHA) has recommended

More information

BC Enhanced Hepatitis Strain Surveillance Project Hepatitis B. Acute HBV Questionnaire

BC Enhanced Hepatitis Strain Surveillance Project Hepatitis B. Acute HBV Questionnaire BC Enhanced Hepatitis Strain Surveillance Project Hepatitis B Informed Consent: Please read to individual and answer any questions There are about 60,000 people with hepatitis B in BC. We want to find

More information

The Cannabis Opportunity. Research Overview

The Cannabis Opportunity. Research Overview The Cannabis Opportunity Research Overview Executive Summary High awareness A.T. Kearney surveyed 1,000 US and 1,000 Canadian consumers, from various demographic and economic backgrounds, who had an awareness

More information

Survey of U.S. Adult Cigarette Smokers

Survey of U.S. Adult Cigarette Smokers Survey of U.S. Adult Cigarette Smokers Topline Report 13 October 2016 ADULT CIGARETTE SMOKERS (U.S. NATIONWIDE): n=1,000 online surveys S1. First, which of the following ranges includes your age? 0% Under

More information

ADULT INFORMATION SHEET

ADULT INFORMATION SHEET ADULT INFORMATION SHEET Date / / Referred by: CLIENT INFORMATION Name: Age: D.O.B. / / Address: Apt#: City: State: Zip Code: Cell Phone: Home Phone: Other: Occupation: Place of employment: PRESENTING ISSUE

More information

Adverse Childhood Experiences (ACE) Results of Lake County Survey. Ferron & Associates for Children s Council of Lake County May 19, 2010

Adverse Childhood Experiences (ACE) Results of Lake County Survey. Ferron & Associates for Children s Council of Lake County May 19, 2010 Adverse Childhood Experiences (ACE) Results of Lake County 2009-2010 Survey Ferron & Associates for Children s Council of Lake County May 19, 2010 Early Death Disease & Disability Health-Risk Behaviors

More information

Geographical Accuracy of Cell Phone Samples and the Effect on Telephone Survey Bias, Variance, and Cost

Geographical Accuracy of Cell Phone Samples and the Effect on Telephone Survey Bias, Variance, and Cost Geographical Accuracy of Cell Phone Samples and the Effect on Telephone Survey Bias, Variance, and Cost Abstract Benjamin Skalland, NORC at the University of Chicago Meena Khare, National Center for Health

More information

Healthy Ireland Survey Codebook for Anonymised Microdata File. December 2015

Healthy Ireland Survey Codebook for Anonymised Microdata File. December 2015 Healthy Ireland Survey 2015 Codebook for Anonymised Microdata File December 2015 Variable Name Question Wording Valid Codes Code Description Filter/Remarks spq1 Q.1 How is your health in general? 1 Very

More information

Client s Name: Street City State Zip. Home Phone Work Phone Cell Phone. Student: Full-time Part-time Grade School. Current or past Education:

Client s Name: Street City State Zip. Home Phone Work Phone Cell Phone.   Student: Full-time Part-time Grade School. Current or past Education: Office of: Sarah Horvath, LCSW Self-Report Form Page 1 Client s Name: Person completing report: Relation to Client: Street City State Zip Home Phone Work Phone Cell Phone Email: Date of Birth: Age: Gender:

More information

Behavioral Risk Factor Surveillance Survey

Behavioral Risk Factor Surveillance Survey Licking County Health Department Community Health Assessment Data Behavioral Risk Factor Surveillance Survey 28 A key strategic objective of the Licking County Health Department is to Monitor health status

More information

First Name Middle Name Last Name Name You Prefer Date

First Name Middle Name Last Name Name You Prefer Date Supportive Housing for Homeless Women & Families Application for Residency First Fruit Ministries 2750 Vance Street Wilmington, NC 28412 Phone 910.794.9656 Fax 910.794.9657 First Name Middle Name Last

More information

ADULT PATIENT HISTORY FORM. Name: Address: City: State: Zip: Occupation (if applicable): Religious Affiliation (if applicable):

ADULT PATIENT HISTORY FORM. Name: Address: City: State: Zip: Occupation (if applicable): Religious Affiliation (if applicable): ADULT PATIENT HISTORY FORM DEMOGRAPHIC INFORMATION: Name: Address: City: State: Zip: Age: Date of Birth: Gender: Male Female Transgender Marital Status: Never Married Domestic Partners Married Separated

More information

Registration Form Women s Health Initiative

Registration Form Women s Health Initiative YWCA WHI 1500 14 th St. Lubbock, Texas 79401 Phone: (806) 687-8858 Fax: (806) 784-0698 1 Registration Form Women s Health Initiative Date: Name (Last, First, middle, Maiden) Age: Date of Birth SS # Mailing

More information

Matching an Internet Panel Sample of Health Care Personnel to a Probability Sample

Matching an Internet Panel Sample of Health Care Personnel to a Probability Sample Matching an Internet Panel Sample of Health Care Personnel to a Probability Sample Charles DiSogra Abt SRBI Carla L Black CDC* Stacie M Greby CDC* John Sokolowski Abt SRBI K.P. Srinath Abt SRBI Xin Yue

More information

What Factors are Associated with Where Women Undergo Clinical Breast Examination? Results from the 2005 National Health Interview Survey

What Factors are Associated with Where Women Undergo Clinical Breast Examination? Results from the 2005 National Health Interview Survey 32 The Open Clinical Cancer Journal, 2008, 2, 32-43 Open Access What Factors are Associated with Where Women Undergo Clinical Breast Examination? Results from the 2005 National Health Interview Survey

More information

Luis Roldan Vivian Santos Marimer Soto Juan Valentín Maria A. Cosme Doris E. Colón

Luis Roldan Vivian Santos Marimer Soto Juan Valentín Maria A. Cosme Doris E. Colón Puerto Rico BRFSS Annual Report 2011 Message The Puerto Rico Department of Health, and the Epidemiology and Research Office presents the Puerto Rico-Behavior Risk Factor Surveillance System Annual Report:

More information

Alcohol Awareness Study 2010

Alcohol Awareness Study 2010 Alcohol Awareness Study 2010 - Prepared for - The Salvation Army - Prepared by - Roy Morgan Research Level 1, 401 Collins Street, Melbourne, VIC, 3000 Discover your edge Alcohol Awareness Survey 2010 CONTENTS

More information

Trends in Pneumonia and Influenza Morbidity and Mortality

Trends in Pneumonia and Influenza Morbidity and Mortality Trends in Pneumonia and Influenza Morbidity and Mortality American Lung Association Epidemiology and Statistics Unit Research and Health Education Division November 2015 Page intentionally left blank Introduction

More information

CHARACTERISTICS OF NHANES CHILDREN AND ADULTS WHO CONSUMED GREATER THAN OR EQUAL TO 50% OF THEIR CALORIES/DAY FROM SUGAR AND THOSE WHO DO NOT

CHARACTERISTICS OF NHANES CHILDREN AND ADULTS WHO CONSUMED GREATER THAN OR EQUAL TO 50% OF THEIR CALORIES/DAY FROM SUGAR AND THOSE WHO DO NOT CHARACTERISTICS OF NHANES CHILDREN AND ADULTS WHO CONSUMED GREATER THAN OR EQUAL TO 50% OF THEIR CALORIES/DAY FROM SUGAR AND THOSE WHO DO NOT Data from the National Health and Nutrition Examination Survey

More information

25 TM. Gallup ME. St Therese-Chesapeake ME25 Overall. Member Engagement Survey Results. February 2008 THE GALLUP ORGANIZATION

25 TM. Gallup ME. St Therese-Chesapeake ME25 Overall. Member Engagement Survey Results. February 2008 THE GALLUP ORGANIZATION 20000D 2 TM ME2 Overall February 200 THE GALLUP ORGANIZATION This document contains proprietary research, copyrighted materials and literary property of Gallup, Inc. It is for the guidance of your faith

More information

Childhood Asthma Prevalence Report in Nevada 2006

Childhood Asthma Prevalence Report in Nevada 2006 Childhood Asthma Prevalence Report in Nevada 2006 Special Module of Nevada Behavioral Risk Factor Surveillance System (BRFSS) Joint Publication of Nevada Center for Health Statistics and Informatics University

More information

H CAHPS Results for End of Sept 2010 Dec 2010

H CAHPS Results for End of Sept 2010 Dec 2010 H CAHPS Results for End of Sept 2010 Dec 2010 34 patients to be contacted 23 successfully contacted 11 could not be reached (never answered phone) Note: Intracranial pts and non elective admissions excluded

More information

The Oxford Health Plans Workplace Wellness Survey. October 2002

The Oxford Health Plans Workplace Wellness Survey. October 2002 The Oxford Health Plans Workplace Wellness Survey October 2002 Table of Contents Introduction Methodology Reading Notes Key Findings A. The Four Health Wellness Segments of Americans B. The Segments Overall

More information

Two-in-three are dieting or exercising In the Battle of the Bulge, More Soldiers Than Successes

Two-in-three are dieting or exercising In the Battle of the Bulge, More Soldiers Than Successes Two-in-three are dieting or exercising In the Battle of the Bulge, More Soldiers Than Successes EMBARGOED FOR RELEASE APRIL 25, 2006 Paul Taylor, Executive Vice President Cary Funk, Senior Project Director

More information

A New Look at the Awareness and Use of Personal Medication Records: Five Years Later

A New Look at the Awareness and Use of Personal Medication Records: Five Years Later A New Look at the Awareness and Use of Personal Medication Records: July 2010 A New Look at Awareness and Use of Personal Medication Records: Data Collected by Social Science Research Solutions (SSRS)

More information

MAKING AN IMPACT ON GENDER EQUALITY LET S UNCOVER THE ISSUES. LET S CREATE SOLUTIONS.

MAKING AN IMPACT ON GENDER EQUALITY LET S UNCOVER THE ISSUES. LET S CREATE SOLUTIONS. MAKING AN IMPACT ON GENDER EQUALITY LET S UNCOVER THE ISSUES. LET S CREATE SOLUTIONS. BIG PICTURE A global focus COMMITMENT FOR CHANGE Coming together for good PINPOINT ON FOODSERVICE What s meaningful

More information

Report 5: Tobacco Use, Dependence and Smoke in the Home

Report 5: Tobacco Use, Dependence and Smoke in the Home Report 5: Tobacco Use, Dependence and Smoke in the Home June 2017 Summary The 2016 Oxford Health Matters Survey (OHMS) was conducted for Oxford County Public Health (Public Health) to inform public health

More information

RECOMMENDED CITATION: Pew Research Center, February 2015, 83% Say Measles Vaccine Is Safe for Healthy Children

RECOMMENDED CITATION: Pew Research Center, February 2015, 83% Say Measles Vaccine Is Safe for Healthy Children NUMBERS, FACTS AND TRENDS SHAPING THE WORLD FOR RELEASE FEBRUARY 9, 2015 FOR FURTHER INFORMATION ON THIS REPORT: Carroll Doherty, Director of Political Research Seth Motel, Research Analyst Rachel Weisel,

More information

Quality of society and individual well-being: key findings from the European Quality of Life Survey

Quality of society and individual well-being: key findings from the European Quality of Life Survey Quality of society and individual well-being: key findings from the European Quality of Life Survey Tadas Leončikas (tle@eurofound.europa.eu) 9 th Conference Social monitoring and reporting in Europe The

More information

Confusion or Memory Loss Behavioral Risk Factor Surveillance System (NYS BRFSS) New York State Department of Health

Confusion or Memory Loss Behavioral Risk Factor Surveillance System (NYS BRFSS) New York State Department of Health Confusion or Memory Loss Behavioral Risk Factor Surveillance System (NYS BRFSS) New York State Department of Health Committee on the Public Health Dimensions of Cognitive Aging April 11, 2014 Patricia

More information

Transitional Housing Application

Transitional Housing Application Transitional Housing Application Applicant Information Name: Date of birth: SSN: ID Number: Current address: City: State: ZIP Code: Phone: Email: Name of Last Social Worker or Probation Officer:: Original

More information

Media Advisory. Alameda County Public Health Department. acphd.org (510)

Media Advisory. Alameda County Public Health Department. acphd.org (510) Media Advisory Alameda County Public Health Department acphd.org (510) 267-8000 Media Contacts: FOR IMMEDIATE RELEASE July 27, 2010 Ms. Vanessa Cordova Alameda County Public Health Department 510/268-2126

More information

MississippiTaxeson CigaretesandFood:A SurveyofSelf-Identified RegisteredVotersAge18+

MississippiTaxeson CigaretesandFood:A SurveyofSelf-Identified RegisteredVotersAge18+ MississippiTaxeson CigaretesandFood:A SurveyofSelf-Identified RegisteredVotersAge18+ PublishedOctober2006 Mississippi Taxes on Cigarettes and Food: A Survey of Self-Identified Registered Voters Age 18+

More information

o Kidney Cancer o Liver Cancer o Tremor o Tuberculosis o B12 Deficiency o Esophageal Cancer o Liver Disease o Pituitary Tumor o Uterine o Neurological

o Kidney Cancer o Liver Cancer o Tremor o Tuberculosis o B12 Deficiency o Esophageal Cancer o Liver Disease o Pituitary Tumor o Uterine o Neurological Adult New Patient Registration PATIENT DOB: / / MONTH DAY YEAR PATIENT NAME: LAST FIRST MI o Abnormal Heartbeat Patient Medical History: Please mark all that apply o Chronic Headaches o Hepatitis C o Neuropathy

More information

PARTICIPATION APPLICATION and AGREEMENT for CULINARY SCHOOL PROGRAM

PARTICIPATION APPLICATION and AGREEMENT for CULINARY SCHOOL PROGRAM Page 1 PARTICIPATION APPLICATION and AGREEMENT for CULINARY SCHOOL PROGRAM PERSONAL INFORMATION First Name Middle Initial Last Name Current Street Address City State Zip code ( ) CELL _( )_HOME @ Email

More information

Veterans Certified Peer Specialist Training

Veterans Certified Peer Specialist Training Please read the CPS Application Supplement before completing application. Go to http://www.viahope.org/resources/peer-specialist-training-application-supplement This training is intended for individuals

More information

A Survey of Public Opinion on Secondhand Smoke Related Issues in Bourbon County, KY

A Survey of Public Opinion on Secondhand Smoke Related Issues in Bourbon County, KY A Survey of Public Opinion on Secondhand Smoke Related Issues in Bourbon County, KY Findings Presented by Bourbon County Health Department with a grant from the Kentucky Department for Public Health Survey

More information

Harvard Opinion Research Program Harvard School of Public Health PUBLIC VIEWS OF THE H1N1 VACCINE TOPLINE RESULTS. September 14-20, 2009

Harvard Opinion Research Program Harvard School of Public Health PUBLIC VIEWS OF THE H1N1 VACCINE TOPLINE RESULTS. September 14-20, 2009 Harvard Opinion Research Program Harvard School of Public Health PUBLIC VIEWS OF THE H1N1 VACCINE TOPLINE RESULTS September 14-20, 2009 Research Team: Robert J. Blendon, Harvard School of Public Health,

More information

OBESITY IN THE U.S.: PUBLIC PERCEPTIONS

OBESITY IN THE U.S.: PUBLIC PERCEPTIONS OBESITY IN THE U.S.: PUBLIC PERCEPTIONS Conducted and funded by The Associated Press-NORC Center for Public Affairs Research Interview dates: Nov. 21 Dec. 14, 2012; No interviewing was conducted on Thanksgiving

More information

Certified Peer Specialist Training Application

Certified Peer Specialist Training Application Please read the CPS Application Supplement before completing application. Go to http://www.viahope.org/resources/peer-specialist-training-application-supplement This training is intended for individuals

More information

Housing Needs Assessment Survey Tool

Housing Needs Assessment Survey Tool Appendix II -Year Chicago Area HIV/AIDS Housing Plan A-9 Housing Needs Assessment Survey Tool Appendix II consists of the English Housing Needs Assessment Survey tool (the Spanish-language survey is not

More information