Josephine van Dongen

Chapter 7 178 Implementation Evaluation Questionnaire for Parents General What is your gender? a.Male b.Female How old are you? How many children do you have? What ethnic background do you have? a.Dutch/Nor thern European b.Surinamese c.Antillean d.Moroccan e.Turkish f.Other, i.e. What is your highest level of completed education? a.None completed education b.Primary school c.Lower vocational education d.Secondary school e.Secondary vocational education f.High school g.Higher professional education h.Academic education (university/college) Information provision about rotavirus vaccination and organization of administration Rate the following six statements on a scale from 1 to 5. 1: totally disagree 2: disagree 3: neutral 4: agree 5: totally agree I.I received enough information from the hospital about rotavirus vaccination. II.The information provided to me about rotavirus vaccine, was easy to understand. III.If I had questions about rotavirus vaccination, I knew who to address/I could contact. IV.I received timely information about rotavirus vaccination; I had sufficient time to decide whether I wanted to vaccinate my child. V.The instructions about vaccinating my child at home were clear to me. VI.Giving my child the second dose of rotavirus vaccine at home was no problem for me. VII.I was first informed about rotavirus vaccination by a pediatrician/pediatric resident or nurse.