Parent Spring Term Immunisation Survey 2019

Tetanus/Diphtheria/Polio, Meningitis ACWY/Targeted MMR

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* 1. What Local Authority do you live in?

Bracknell Forest

RBWM

Slough

Reading

Wokingham

West Berkshire

Other (please state)

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* 2. What type of school does your child attend?

Secondary

Academy/free school

Independent (fee paying)

Special school

Faith school

Home schooled

Other (please state)

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* 3. Email contact (to feedback survey results)

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* 4. Did you receive the consent form well enough in advance of your child’s immunisation session?

Yes

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* 5. Was the information within the consent form easy to read and understand?

Yes

If not, why?

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* 6. Did you have any reservations about your child receiving the Tetanus/Diphtheria/Polio, MenACWY/(targeted MMR) vaccines?

Yes

No - move to question 7

If yes, what were these?

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* 7. If you answered yes to q6 could the Immunisation team done anything different prior to your child’s session that would have helped?

Yes

If yes, what?

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* 8. Would you have preferred a consent form in a language other than English?

Yes

If yes, please state language

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* 9. Where was your child vaccinated?

School

Community clinic - if answered then move to q10

Not vaccinated

Other (please state)

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* 10. If your child was vaccinated in a community clinic, were you able to get an appointment at a time that suited?

Yes

Child not vaccinated at community clinic

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* 11. Did the community clinic run according to plan, for example your child seen at the time that was planned, staff friendly and confident?

Yes

Child not vaccinated at community clinic

Comments? (Optional)

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* 12. What would be the best time of day for you to take your child to a community clinic, if they were unable to be vaccinated in school?

Morning

Lunchtime

After school

After 5pm

Saturday morning

Other (please state)

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* 13. Currently we run community clinics in the following locations:

Reading – Whitley Health and Social Services

Wokingham – Wokingham Community Hospital

West Berkshire – West Berkshire Community Hospital

Bracknell – Oaks & Hollies Children Centre

Royal Borough of Windsor, Ascot and Maidenhead – King Edward VII Hospital

Slough – Upton Hospital

Of the clinics listed above, would there be a location that you would be able to access easily?

Yes

If no, could you suggest a location that would be more convenient?

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* 14. Would you be interested in attending a parent session to educate, update and answer questions about the Tetanus/Diphtheria/Polio, MenACWY/ MMR vaccines?

Yes

Parent Spring Term Immunisation Survey 2019

Tetanus/Diphtheria/Polio, Meningitis ACWY/Targeted MMR

Question Title

* 1. What Local Authority do you live in?

Question Title

* 2. What type of school does your child attend?

Question Title

* 3. Email contact (to feedback survey results)

Question Title

* 4. Did you receive the consent form well enough in advance of your child’s immunisation session?

Question Title

* 5. Was the information within the consent form easy to read and understand?

Question Title

* 6. Did you have any reservations about your child receiving the Tetanus/Diphtheria/Polio, MenACWY/(targeted MMR) vaccines?

Question Title

* 7. If you answered yes to q6 could the Immunisation team done anything different prior to your child’s session that would have helped?

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* 8. Would you have preferred a consent form in a language other than English?

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* 9. Where was your child vaccinated?

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* 10. If your child was vaccinated in a community clinic, were you able to get an appointment at a time that suited?

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* 11. Did the community clinic run according to plan, for example your child seen at the time that was planned, staff friendly and confident?

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* 12. What would be the best time of day for you to take your child to a community clinic, if they were unable to be vaccinated in school?

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* 14. Would you be interested in attending a parent session to educate, update and answer questions about the Tetanus/Diphtheria/Polio, MenACWY/ MMR vaccines?

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* 15. If you have any other comments, please comment below