Tetanus/Diphtheria/Polio, Meningitis ACWY/Targeted MMR


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* 1. What Local Authority do you live in?

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

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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?

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

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

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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?

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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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* 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?

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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

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