Immunisation Service Survey – For Parents & Guardians

There was an error on your page. Please correct any required fields and submit again. Go to the first error.

This question requires an answer

1. How would you prefer to receive information regarding the immunisations that are on offer to your child to receive in school? *

Letter via school with consent form and information leaflets included
Letter via school with details of how to access consent form and information electronically
Email or Parent information app via school with consent forms and information leaflets attached
Email or Parent information app via school with direct link to consent form and information electronically

This question requires an answer

2. How would you prefer to consent or refuse consent for your child to receive an immunisation in school? *

Paper consent form from school which I return to the school by the required date
Electronic consent form which is returned directly to the immunisation team by the required date

This question requires an answer

3. What might stop you from returning consent forms for immunisations as quickly as possible if they are paper copies? *

I like plenty of time to think about the immunisation
Lack of information
Lost paper copies
Other (please specify):

This question requires an answer

4. If your answer to Question 3 is ‘lack of information’, please specify what additional information you require and how you would like to receive it *

This question requires an answer

5. What might stop you from returning consent forms for immunisations as quickly as possible if they are electronic copies? *

I like plenty of time to think about the immunisation
Lack of information
No access to technology to complete online forms
Other (please specify):

This question requires an answer

6. If your answer to Question 5 is ‘lack of information’, please specify what additional information you require and how you would like to receive it. *

This question requires an answer

7. If your child attends secondary school, would you be happy for them to be offered the opportunity to consent for themselves for a vaccination?

(Please note: You would be sent an information letter with the option to opt out of the vaccination on their behalf (under the age of 16), prior to this being offered to them in school) *

Yes
No

Comments

This question requires an answer

8. Is there anything that the immunisation team could do to make the consent process for immunisations easier or more helpful? *