5 PAGE PAPER

Nikita Atamas Nadia Nichol

Nikita Atamas Nadia Nichol

HW 4

Dear Participant:

Our names are……. We are undergraduate students at…... For our final project, we hope to examine attitudes toward COVID-19 vaccination. Because you are a student at … college, we are inviting you to participate in this research by completing the attached survey. The following questionnaire will require approximately 5 minutes to complete. There is no compensation for participation in this survey. In order to ensure that all information will remain confidential, we will never ask for your name nor can this survey be linked back to you.

Results of this survey can be reviewed by ….. College faculty and students. If you choose to participate in this project, please answer all questions as honestly as possible. Once you complete the survey, please make sure you submit it at the end. Participation is strictly voluntary, and you may refuse to participate at any time.

Completion and return of the survey will indicate you agree with above conditions and willing to participate in this study.

If you require additional information, have questions or If you would like a summary copy of this study, please contact us via email listed below.

Should you have any concerns or in case you are not satisfied with how this study is being conducted, you may report (anonymously, if you so choose) any complaints to our professor Dr. Khan.

Thank you for taking the time to assist us in our educational endeavors.

Sincerely,

Professor Khan

STATEMENT BY PERSON AGREEING TO PARTICIPATE IN THIS STUDY

I have read this informed consent document and the material contained in it has been explained to me. I understand each part of the document, all my questions have been answered, and I freely and voluntarily choose to participate in this study.

Yes, I consent.

No, I do not consent.

Variable type

Variable

Question

Responses

Source

1. Background Age What is your age? Under 18 years; Developed by

(Independent 18 to 24 years; group variable) 25 to 45 years;

ASK ALL 45 to 64 years;

65 years and over

2.	Background (Independent variable) ASK ALL	Gender identity	What gender you identify	Female; Male; Non-Binary; Prefer not to say	Developed by group
			with?
3.	Background (Independent variable) ASK ALL	Political party affiliation	What is your political party affiliation?	Democrat; Republican; Independent	Developed by group

4. Background Race & ethnicity Which of the following Asian or Pacific Islander; Vesta Research,

(Independent describes you best? Black or African American; 2020

variable) Hispanic or Latino; ASK ALL Native American or Alaskan Native;

White or Caucasian;

Multiracial or Biracial;

Other

5. Dependent Attitude toward COVID- How much confidence, if A great deal of confidence; Pew Research, variable 19 vaccination any, do you have that the A fair amount of confidence; 2021 ASK ALL research and development Not too much confidence;

process has produced No confidence at all

COVID-19 vaccines in the U.S. that are safe and effective??

6.

Background (Independent variable) ASK ALL

History of vaccination against COVID-19

Were you vaccinated against COVID-19?

Yes (skip to question 9 and do not ask question 10); No

Developed by group

7. Dependent General intent to get Would you… Definitely get vaccinated (skip to Developed by variable vaccinated question 9 and do not ask question group

10);

Most likely get vaccinated;

Unlikely get vaccinated;

Definitely not get vaccinated

8.	Independent	Side effects; Misinformation; Lack of information; Distrust in government	What has had the most influence on your decision?	Concerned about side effects;		Developed by
				I don’t have enough informatio	n	group
				about vaccines;
				I saw unfavorable articles or
				publications about vaccine
				effectiveness and/or its safety;
				I do not trust the government in
				questions related to my health.

9. Independent Social responsibility How much, if at all, do you A lot Pew Research, think people should A little 2021 consider the health effects Not at all for the community when making their own decision about whether to get a

COVID-19 vaccine?

10.	Independ	ent	Potential for more contagious and deadly variants to develop.	Slow vaccination rollout contributes to development of more contagious and deadly COVID-19 variants, as well as diminishes effectiveness of existing vaccines. Knowing that, would you…	Definitely get vaccinated; Most likely get vaccinated; Unlikely get vaccinated; Definitely not get vaccinated.	Developed by group
	*Not sure how	to
	describe this
	variable.
	Intention is to
	check how firm
	respondents in
	their attitude
	toward
	vaccination wh	en
	provided conte	xt
	and if persuasi	on
	is possible	*