Q1: Please enter you age in years * YY Q2: Please tell us what is your sex? * Male Female 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: Where do you usually seek healthcare * Private Public Both Q8. Do you have access to medical aid? * Yes No Back Next Q9: 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 (in the lungs) Tuberculosis (not in the lungs) Chronic kidney disease Liver disease Chronic neurological disorder Malignant neoplasm (cancer) Chronic hematologic disease Obesity (BMI>30) Diabetes Rheumatologic disorder Dementia Immunosuppressive therapy Other Q9.1: Specify * 0.00 Back Next Received flu vaccine for 2025 * No Yes Received Flu Vaccine Date *Please choose an approximate date if you do not remember. The influenza vaccine was available from March 2024 Back Submit Back Submit *Please select the comorbities that apply Back
