Public Insight Network

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Will you get the H1N1 Vaccine?

The World Health Organization reports that H1N1 is the dominant flu strain in most parts of the world.
This WHO briefing covers the spread of H1N1 in the northern hemisphere.

H1N1 vaccine is now available to high-risk groups. It will eventually be available to everyone. What's your decision about being vaccinated?

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Fill out the form below to share your insights with KUOW's newsroom. What you tell us is not broadcast unless you give explicit permission later on.

Do you plan to be vaccinated against H1N1?

yes
no
maybe

If you have children, will you have them vaccinated?

yes
no
maybe

Please explain your reasoning, or why you are undecided.

If anyone in your circle has tested positive for H1N1, please tell us whether that
influences your own decision about immunization, and how.

What questions do you have about the vaccine and how it will be distributed?

What do you know about H1N1 or disease outbreaks that you think others should know?

Now we have a few biographical questions. You don't have to answer these but they are helpful in understanding where you're coming from.

In what year were you born?

What is your gender?

What is your line of work?

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We ask for some information about you so we can contact you if we have questions. We will not share your personal information outside the newsrooms.

By filling out this form, you are giving KUOW permission to contact you for help with current and future news coverage, and you become part of the KUOW Public Insight Network. Through our partnership with American Public Media, you may have opportunities to also inform national stories on programs such as Marketplace, Marketplace Money, Speaking of Faith, and American RadioWorks.

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