Identification of workplace vaccination sites: Agriculture sector

This survey is intended for employers who want to form part of a workplace vaccination site for Covid 19 vaccines.

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* 1. What is the name of your company/farming operation?

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* 2. In which province does your company/farming operation operate?

Gauteng

Limpopo

North West

Free State

Kwazulu-Natal

Mpumalanga

Eastern Cape

Northern Cape

Western Cape

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* 3. Please name the town closest to your company/farming operation?

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* 4. How many employees work at your company/workplace?

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* 5. I agree to provide transport for employees to and from the closest workplace vaccination site as and when it is available.

Yes

No