Wildwood COVID-19 Vaccination Pop-Up Event

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* 1. Are you a Wildwood resident?

Yes

No

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* 2. Would you be interested in receiving a COVID-19 vaccination in the next few weeks at a City of Wildwood pop-up event?

Yes

No

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* 3. How many family members, friends and neighbors might also participate?

1

2

3

4

5+

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* 4. What is your preferred day and time for a potential pop-up event?

Weekday - daytime

Weekday - evening

Weekend - daytime

Weekend - evening