Survey Text

2022
2021
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2022
Survey form view entire document:  text  image
Question ID: IMS.0064.01.3
Variable: CVDVAC2M_A
Interview Module: Adult
Content Type: Sponsored Content

Question text:

* 1 of 2
During what month and year did you receive your next most recent COVID-19 vaccination?
* Enter month of the next most recent COVID-19 vaccination.
Response:
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
97 - Refused
99 - Don't Know
Universe:
Sample Adults 18+ who have had two or more COVID-19 vaccinations
Skip Instructions:
1-12,DK [goto CVDVAC2Y_A]
RF [goto SHOTTYPE_A]

top
2021
Survey form view entire document:  text  image
Question ID: IMS.0064.01.3
Variable: CVDVAC2M_A
Interview Module: Adult
Content Type: Sponsored Content
Question text:
1 of 2
During what month and year did you receive your next most recent COVID-19 vaccination?
Enter month of the next most recent COVID-19 vaccination.
Response:
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
97 - Refused
99 - Don't Know
Universe:
Sample Adults 18+ who have had two or more COVID-19 vaccinations
Skip Instructions:
1-12,DK [goto CVDVAC2Y_A]
RF [goto SHTPNUEV_A]