2009 Novel H1N1 Influenza Public Engagement Project Post-Meeting Questions This survey contains some questions that are identical to those asked in the first survey you filled out today. It also contains some additional questions about your opinions of today’s activities. Please use the same ID number that you used for this morning’s survey. Your name will never be connected with your ID number, so no one will know your answers to the survey. Your number will be used only for these surveys. ‘our ID number for the surveys is the year you were bom, followed by ‘its of your home phone number. For example, if you were born in 1961, and your phone number is 123-4567, your ID number will be 19614567. Please write your ID number in the box below: Your Confidential 1D Number Ele Year of Birth Last Four Digits of Your Home Phone Number Go On >Section I: Knowledge about Pandemic Flu Please answer the following questions based on what you know right now about the flu. It is OK if you do not know the answers to any of the questions, 1. How soon after someone is infected with a flu virus can they get sick? Almost immediately One day later A few weeks later About a month later | don't know Oo 9000 . About how many people die in a typical year from flu in the United States? 6,000 36,000 156,000 256,000 I don't know Oooo . Whois at risk when a new flu virus appears that has never been seen before? Only children Only people in the country the virus is first discovered in Only people who have never received a flu shot ‘The entire population of the world I don't know D o000 How many flu pandemics have occurred over the last 100 years? 0 (none) 3 (three) 20 (twenty) 35 (thirty-five) I don't know Oo 09090 . What causes flu pandemics? Poor hand washing The flu virus changes so much that nobody has immunity to it People don’t get annuat flu shots 11 Noone really knows a Idon't know Go On>6. Where did the 2009 novel H1N1 flu virus start? Spain Mexico United States China I don't know: oO 0000 7. In the United States, which group has been most likely to be hospitalized after getting the novel HiN4 flu? Children younger than 4 years of age Cl Adults age 25-64 (Persons 65 years of age and older o o o Persons with Guillane-Barré Syndrome 1 don't know Section Il: Opinions about Flu Planning The following questions are about your personal opinions relating to how you might make decisions in the event of a flu pandemic. 8. Please indicate your level of agreement with the following statements: Disagree Disagree Agree Agree Strongly Somewhat Somewhat Strongly Even if flu caused by the novel HAN1 virus is as severe as predicted, | won't get sick. al Is ‘a a Flu caused by the novel H1N1 virus won't be as severe as | eee Oo oO fl; o The U.S. should provide surplus flu vaccines to poor countries that a o oO Dp don't have enough vaccine Go On>