1. Do you normally receive a seasonal flu shot every year?

No   Yes

2. Where do you usually receive your seasonal flu shot?

My doctor's office

Drug store (Savon, RiteAid, Longs, CVS, etc)

Community center or community clinic

At work

At school

Other:

3. If you could choose, where would you prefer to receive your seasonal flu shot?

My doctor's office

Drug store (Savon, RiteAid, Longs, CVS, etc)

Community center or community clinic

At work

At school

Other:

4. How concerned are you about catching the seasonal flu?
1 to 5, 5 being the most concerned

1 2 3 4 5

5. How concerned are you about the possible outbreak of a pandemic flu in the United States?
1 to 5, 5 being the most concerned

1 2 3 4 5

6. Have you heard of Tamiflu, a medicine for treating the flu?

No   Yes

7. If you could, would you order a flu treatment medicine in preparation for a possible pandemic flu outbreak?

No   Yes

8. If you would like to receive Flu News updates about flu activity, flu prevention and flu treatment, sign up here:

* = Required field

Your privacy is important to us. We will only use your personal information as described in our privacy policy.