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COVID 19 Vaccine Survey

Santa Rosa County residents, 
Health and emergency management officials need your feedback as they plan a public information and distribution strategy for the COVID-19 vaccine. Learn about the benefits of the COVID vaccine, information on the safety of the vaccines and how the CDC is making vaccine recommendations. If you have questions or concerns, talk with your medical provider about how you can best protect yourself and your family from COVID-19 to help make your best decision. Please note this survey is for Santa Rosa County, Florida residents only.
Thank you.
1.Which statement best describes how you feel about a COVID-19 vaccine?
2.If you answered “I am undecided, “I will probably not get it” or “I will definitely not get it,” what best describes your reason why?
3.Have you or someone you know gotten COVID-19?
4.Are you concerned about the COVID-19 pandemic?
5.Did you already receive a flu shot or do you plan to get the flu shot this flu season?
6.Do you usually wear a mask or face covering when in public?
7.Do you stay at home when you feel sick?
8.What is your age group?
9.Do you have any underlying medical conditions? Visit the CDC web site for more information on underlying medical conditions.
10.Please choose the best employment type that fits your current situation. *You are an “Essential” worker if you had to continue in-person job activities during the Safer at Home Order, please see FDEM’s essential services list for more information.
11.In which Santa Rosa County district do you live?
Thank you for completing the Covid-19 vaccine survey. Remember, ways to protect you and others from COVID-19 include:
·       Practice social distancing
·       Wear a mask or face covering
·       Wash your hands
·       Stay home if you feel sick
·       Choose your activities wisely.

For more information, please visit the Center for Disease Control web site.