COVID 19 Vaccine Interest Ages 5-11 Question Title * 1. Town where your child(ren) attends school? Pahrump Amargosa Beatty Tonopah Round Mountain Question Title * 2. How many children do you have between the ages of 5 and 11? Question Title * 3. Grade your child(ren) are in? K 1st 2nd 3rd 4th 5th 6th 7th Prefer Not to Say Question Title * 4. Do you want your child(ren) to receive the COVID19 vaccine? Yes No Done