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If you are an adult over the age of 18, do you plan to get the H1N1 Swine Flu Vaccination?

	Yes
	No

Will you have your child (children) under the age of 18 vaccinated with the H1N1 Swine Flu vaccine?

	Yes
	No

Are you still undecided about being vaccinated against H1N1 Swine Flu?

	No
	Yes

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