1.
Does your institution require or suggest that students receive the following vaccinations?
Required, waiver not accepted Required, waivers accepted Suggested, but not required Not required or suggested
Measles, mumps, and rubella (MMR)
Tetanus, diphtheria, pertussis (DT, DTaP, TDaP, or Td)
Varicella
Meningococcal
Hepatitis B
Flu
Other, please specify

2.
What exemptions to these vaccination requirements, if any, are allowed? Please select all that apply.
Medical contraindications
Religious
Philosophical/personal belief
Other

3.
In what format are the student vaccination records stored?
Electronic database
Paper files
Other

Email:
Support@CORSurvey.org
Need Help?
Toll-free:
+123-456-789
4.
Regardless of a requirement to receive the vaccinations, does your institution require students to provide documentation of their vaccination status for each of the following?
Yes, signed by a medical professional Yes, self-report Suggested, but not required Not required or suggested
Measles, mumps, and rubella (MMR)
Tetanus, diphtheria, pertussis (DT, DTaP, TDaP, or Td)
Varicella
Meningococcal
Hepatitis B
Flu
Other, please specify

5.
In your opinion, how difficult would it be to access student vaccination records to quickly identify unvaccinated students in the event of a disease outbreak?
Very difficult
Somewhat difficult
Neither difficult nor easy
Somewhat easy
Very easy

Email:
Support@CORSurvey.org
Need Help?
Toll-free:
+123-456-789