Glendale Riverhills - Health Services Survey Question Title * 1. Would you or anyone in your family be interested in receiving a COVID-19 vaccine at your child's school? Yes No Question Title * 2. If yes, how many peopole in your household need their primary series of the COVID-19 vaccine? Please also indicate the age of each participant. Question Title * 3. If yes, how many people in your household need a COVID-19 booster dose? Please also indicate the age of each participant. Question Title * 4. Would you or anyone in your household be interested in receiving a flu vaccine at your child's school? Yes No If yes; How many people and what are their ages Question Title * 5. Would you are anyone in your family be interested in getting a Tdap vaccine at your child's school? Yes No If Yes: How many people would be vaccinated and please provide their ages. Question Title * 6. What type of insurance do you have? Private State funded No insurance Question Title * 7. Would you or anyone in your household be interested in getting lead tested at your child's school? Yes No Question Title * 8. If you answered 'yes' to any of the above services, please provide your email address to recieve further information about our upcoming clinic. Done