Seasonal/H1N1 Flu Survey


Thank you for taking the time to complete this survey. Your participation is greatly appreciated and will help to increase awareness of flu vaccinations.

This is a 12 question survey being conducted by Epic Multimedia and will take approximately 5 minutes to complete.

Again, thank you for your participation.
1. What city do you live in?
2. What is your gender:
3. What is your age:
4. Do you work in the health care industry?
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