Agustín Estrada-Peña Agustín Estrada-Peña Helen Esser Helen Esser Gábor Földvári Gábor Földvári Hans-Peter Fuehrer Hans-Peter Fuehrer Aysen Gargili Aysen Gargili Mats Van Gestel Mats Van Gestel Giulio Grandi Giulio Grandi Maria Kazimirova Maria Kazimirova Dorota Kiewra Dorota Kiewra Tero Klemola Tero Klemola Lene Jung Kjær Lene Jung Kjær Vivian Kjelland Vivian Kjelland Katarzyna Kubiak Katarzyna Kubiak Daniele de Meneghi Daniele de Meneghi Andrei Daniel Mihalca Andrei Daniel Mihalca Sarah Moutailler Sarah Moutailler Aleksandar Potkonjak Aleksandar Potkonjak Pavel Prokop Pavel Prokop Käthe Robert Käthe Robert Renate Ranka Renate Ranka Angel Sainz Angel Sainz Jani Sormunen Jani Sormunen Smaragda Sotiraki Smaragda Sotiraki Christina Strube Christina Strube Snorre Stuen Snorre Stuen Pavel Široký Pavel Široký Laura Tomassone Laura Tomassone Annetta Zintl Annetta Zintl Sandra Antunes Sandra Antunes Ana Domingos Ana Domingos Elsevier 2025 We prepared a digital questionnaire to capture knowledge, attitudes and practices (KAP) regarding ticks and tick-borne pathogens (TBPs) in 20 languages. The questionnaire was distributed to 21 universities and research institutions in 22 European countries and 9401 valid responses were collected. Most survey participants identified ticks correctly and regarded ticks as a serious health risk. There was also a good level of knowledge regarding tick activity, habitats and the predominant TBPs in the country or region. Moreover, most respondents were familiar with effective tick protection and removal measures. Over 75 % of respondents had been bitten by ticks and up to 12 % of participants had been diagnosed with a tick-borne infection in the past. Respondents from northern and central European countries who reported engaging in outdoor activities more frequently, reported increased frequencies of tick bites and infection with TBPs compared to respondents from southern Europe. Awareness of national information campaigns on ticks and TBPs was also greater among respondents from northern and central European countries than among Mediterranean countries. PDFDocument eng 2026-02-16T09:38:40.804048Z 2025 Knowledge Attitudes and Practices (KAP) Ixodid Ticks Tick-borne Pathogens Questionnaire Survey Europe 13770548 b application/pdf http://creativecommons.org/licenses/by/4.0/