Thank you for help during the 2009 H1N1 Vaccination Campaign. This voluntary survey is intended to provide feedback on the campaign. Your responses will be confidential. Please complete all portions. Please complete only one survey. In order to keep your responses confidential please do not put your name on the survey. If you have any questions, please contact survey's epidemiologist at: (937) 374-5660 or email at email@example.com. Note that some may receive and complete this survey online by visiting www.gcchd.org for a link to the survey. Paper copies, email (firstname.lastname@example.org) or fax (937-374-5675) completed copies of the survey may also be sent back.