Q1: Please enter you age in years * YY Q2: What is your sex? * Male Female Intersex Prefer not to disclose Next Q3: What is your residential postal code? * Q4: In which province do you live in? * Choose oneGautengKwaZulu NatalFree StateNorth WestWestern CapeEastern CapeNorthern CapeLimpopoMpumalanga Q5: What is your highest education level? * Choose oneDiploma / Degree / Post GraduateMatric CertificatePrimary to High SchoolNo Formal Schooling Q6: Are you employed or earning income from self-employment? * Choose oneYesNo Back Next Q7: Do you have any comorbidities (underlying medical illness?) Select all that apply * Yes No Chronic cardiac diseases Hypertension (high blood pressure) Chronic pulmonary disease (not asthma) Asthma (physician diagnosed) Tuberculosis (pulmonary) Tuberculosis (extra pulmonary) Chronic kidney disease Liver disease Chronic neurological disorder Malignant neoplasm (cancer) Chronic hematologic disease Obesity (BMI>30) Diabetes Rheumatologic disorder Immunosuppressive therapy Other Q9.1: Specify * 0.00 Q8.1: Did you receive the flu vaccine last year (2025)? * No Yes Q8.2: Did you receive the flu vaccine this year (2026)? * No Yes Back Next Q9: Where do you usually seek healthcare * Private Public Both Q10. Do you have access to medical aid? * Yes No Back Submit Back Submit *Please select the comorbities that apply Back
