To learn more about questionnaires, see the what are questionnaires help page or the how to send a questionnaire guide.
Questionnaire content
Text message
Dear {Patient name}
โ
You are due a free flu vaccine at {practice name}
โ
To book, please call reception on {reception number}
โ
If you do not want your vaccine or have already had one this year, please let us know by tapping this link:
Questions and answers
1.
Confirm your date of birth
Dear {patient first name},
Before you respond to {practice name}, please confirm your date of birth.
Day (DD)
Month (MM)
Year (YYYY)
Next
2.
Flu Vaccination
Would you like to have a Flu vaccine at {Practice name}
Yes
No, I do not want to be vaccinated
No, I have already been vaccinated
Submit
Confirmation page
Your answers have been sent to your GP
Thank you. Your response has been sent to practice name.
You can learn more about why it's safe to get the flu vaccine on the NHS website.
If you decide to get the vaccine, please call your GP to book an appoitment.
Coding
[When the patient declines a flu vaccination]
Snomed: Seasonal influenza vaccination declined (situation) (822931000000100)
Read CTV3: Seasonal influenza vaccination declined (XaZ0i)
How to give feedback
As always, weโd love to hear your feedback about our questionnaires.
To request a new questionnaire or suggest changes, please fill in our request form.
