COVID-19 Vaccine Questionnaire

Clinical Trial Title

Understanding COVID-19 Vaccine Hesitancy Among Health Care Workers

Contact Information

Clinical Trial Protocol Description:

Investigators at multiple Chicago area hospitals are doing a research study to identify the motivators and barriers to COVID-19 vaccine uptake among health care workers. We would like you to participate in this study; however, participation is voluntary. The outcomes of this study are intended to inform design and implementation of a more effective vaccination campaign.  

If you choose to be in the study, you will complete an online survey. It will take about 5-10 minutes to complete and is intended to gauge one’s beliefs and attitudes toward receiving a vaccination against COVID-19. You can skip questions that you do not want to answer or stop the survey at any time. Confidentiality will be maintained to the degree permitted by the technology used. Your participation in this online survey involves risks similar to a person’s everyday use of the Internet. The survey does not request your name or other information that could be used to directly identify you.

Participation in this study is voluntary. If you choose to participate, click this link to start the survey:

Clinical Trial Eligibility Criteria:

Inclusion criteria are any health care worker, including employees and students, affiliated with Rush University System for Health.

This is a partial list of eligibility requirements. To inquire about your eligibility, please call the contact number provided. If you wish to inquire via email, please include the title of the study in your message.

Study Details

Clinical Trial Investigator

Gina Piscitello, MD

Contact Information

Gina Piscitello

(651) 303-2153

If you have questions or concerns about your rights as a research participant, you can contact the Rush Institutional Review Board. The Rush IRB exemption number for this study is 21012605-IRB01. 


RUSH University Medical Center

1620 W Harrison St
Chicago, IL 60612

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RUSH Copley Medical Center

2000 Ogden Ave
Aurora, IL 60504

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