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    Casili Ej
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    This document is a questionnaire about the COVID-19 pandemic. It contains questions in 4 sections: demographics, awareness and knowledge of COVID-19, precautions taken, and vaccination status. The questions gather anonymous information about age, gender, location, occupation, sources of COVID-19 information, personal precautions like mask wearing and social distancing, and vaccine details if received. The purpose is to research the public perspective on the pandemic.

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    This document is a questionnaire about the COVID-19 pandemic. It contains questions in 4 sections: demographics, awareness and knowledge of COVID-19, precautions taken, and vaccination status. The questions gather anonymous information about age, gender, location, occupation, sources of COVID-19 information, personal precautions like mask wearing and social distancing, and vaccine details if received. The purpose is to research the public perspective on the pandemic.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views2 pages

    Survey Eda

    Uploaded by

    Casili Ej
    This document is a questionnaire about the COVID-19 pandemic. It contains questions in 4 sections: demographics, awareness and knowledge of COVID-19, precautions taken, and vaccination status. The questions gather anonymous information about age, gender, location, occupation, sources of COVID-19 information, personal precautions like mask wearing and social distancing, and vaccine details if received. The purpose is to research the public perspective on the pandemic.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    CAMARINES SUR POLYTECHNIC COLLEGES

    NABUA, CAMARINES SUR

    INTRODUCTION:

    Thank you for participating in this questionnaire about COVID-19. Your responses will help
    us better understand the impact of the pandemic and the measures taken to combat it. Your
    answers will remain anonymous and confidential.

    Section 1:

    1.1. Age: ______


    1.2. Gender: ______

    1.3. Location (City/State/Country): ______

    1.4. Occupation: ______

    1.5. Have you been directly affected by COVID-19 (personally infected or someone close to you
    infected)?
    [ ] Yes [ ] No

    Section 2: COVID-19 Awareness and Knowledge

    2.1. How did you first hear about COVID-19?

    News

    Social Media

    Healthcare Provider

    Family/Friends

    Other (please specify): ______

    None
    Section 3: COVID-19 Precautions

    3.1. What COVID-19 precautions have you personally taken in the past year? (Check all that
    apply)

    Wearing a mask
    Frequent handwashing

    Social distancing

    Getting vaccinated

    Avoiding crowded places

    Working/studying from home

    None

    Section 4: COVID-19 Vaccination

    4.1 Have you received a COVID-19 vaccine?

    [ ] Yes [ ] No

    If yes, which vaccine did you receive, and how many doses have you completed?

    Pfizer

    Moderna

    Johnson & Johnson

    AstraZeneca

    Other (please specify): ______


    Thank you for taking the time to complete this questionnaire. Your input is valuable in
    understanding the public's perspective on COVID-19. Your responses will remain confidential and
    will be used solely for research purposes. If you have any additional comments or information
    you'd like to share, please feel free to do so.

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