Online Swine Flu Questionnaire


An online Swine Flu questionnaire is a questionnaire which is framed in order to get a common person’s perception of Swine Flu and the necessary prevention methods which are taken by respondents. Such questionnaires are useful for organisations related with health and care and these questionnaires are online based.

Sample online swine flu questionnaire

Name: ______________

Age: __________________

Date of birth: _________________

Address: _________________

Contact number: ______________

Email address: ______________

The following are the questions for candidates. Answer all questions

Q1. According to you, was Swine Flu exaggerated?

a)   Yes

b)   No

Q2. Give your opinion and information about what you know about Swine Flu?

Q3. How is Swine Flu caused?

Q4. Do you think you contracted Swine Flu?

a)   Yes

b)   No

Q5. If yes, what do you think was the possible cause for contraction?

a)   Yes

b)   No

Q6. What are the symptoms observed by you or your family?

Q7. Did you take the Tami flu?

a)   Yes

b)   No

Q8. Had you stocked up Tami flu tablets for precaution sake?

a)   Yes

b)   No

Q9. Did you take any other vaccination to prevent getting Swine Flu?

a)   Yes

b)   No

Q10. Do you think our government has done enough to spread awareness regarding Swine Flu?

a)   Yes, they have done a great job

b)   Yes they have done fine

c)   They could have done better

d)   They haven’t done enough

Q11. Would you like to give your children the Swine Flu vaccination?

a)   Yes

b)   No

Q12. According to you, do you think there will be another epidemic in the future?

a)   Yes

b)   No

Category: Online Questionnaire

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