Taking Corona Vaccine
This survey is conducted only on the student of An university
1. Select the gender
Male
Female
2. Select the age
15-25
25-35
35-45
45-55
Above 55
3. Do you stay at university managed accommodation (Hall)?
1 yes 2 no
4. (If yes) Mention the name of your hall.
……………………………………….
5. Did you take the both doses Corona vaccine?
1 Yes
2 No
6. (IF NO,) what is the reason?
1st dose vaccine complete and waiting for the second dose
registration complete but waiting for vaccine date
couldn't get vaccine for not having voter ID
Other
7. (IF YES TO Q. 1, ASK:) How satisfied were you with the whole vaccine procedure? Were
you . . .
1 Very satisf ed
2 Somewhat satisf ed
3 Somewhat dissatisf ed
4 Very dissatisf ed
(IF SOMEWHAT OR VERY DISSATISFIED:) In what way were you dissatisf ed?
8. (ASK EVERYONE:) Did you suffer from any side effects?
1 Yes 2 No
SKIP TO Q. 6
9. IF YES, ASK: what were the side effects?
……………………………………………..
10. after taking the vaccine did you ever tested positive of corona virus?
1 Yes 2 No
11. IF YES, ASK: how severe was your condition?
1. Hospitalization required
2. Personalized home care
3. Asymptomatic
12. are you receiving any support from your University in regard to your vaccination?
1. yes 2 . no
13. did Jahangirnagar Universe take any satisfactory steps regarding social distancing?
1. yes 2 . no
14. do you feel safe now that the halls and classes of Jahangirnagar university has opened?
1. yes 2 . no
15. IF No, Explain your reasoning?
……………………………………………………………………
Online shopping
Select the gender
Male
Female
Select the age
15-25
25-35
35-45
45-55
Above 55
Select your current annual household income
30000-80000
80000-130000
130000-180000
Other
Are you a member of social networking site?
Yes
No
(If yes) How many social networking sites are you a member of?
None
1-10
11-20
21-50
Above 50
Please select all social networks that you like to do shopping?
Facebook
youtube
pinterest
Twitter
MySpace
Blogger.com
Others