MyGate COVID Vaccination Drive Question Title * 1. Your Information Email ID City Society Name Question Title * 2. How many people in your household would receive the vaccine via this drive? Question Title * 3. How many of these need only the second dose? Question Title * 4. For members taking the first dose, would you prefer second dose at your society premises? Yes No Question Title * 5. Which of the following vaccines would you be open to getting? Covaxin Covishield Sputnik Any government approved vaccine Question Title * 6. Are you willing to pay a nominal service charge for bringing the vaccination drive to your society, above the cost of the vaccine? Yes No SUBMIT
