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* 1. Where do you work? Choose all that apply.

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* 2. What is your specialty?

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* 3. What state do you live in?

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* 4. How strongly do you feel children should be vaccinated?

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* 5. In your experience, what is the number one reason why parents do not want to get their children vaccinated?

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* 6. Have you treated any unvaccinated children for diseases that are considered preventable by vaccines?

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* 7. Other comments

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