Cara Direct Care Covid 19 Vaccine Information Questionnaire No.1

Please answer these questions about your interest in the Covid 19 vaccine

Yes

As soon as possible when I am eligible

I’m considering it, but want to wait

I am not eligible to receive the Covid 19 vaccine ever due to preexisting health conditions

I have already received the Covid 19 vaccine elsewhere

I’m not interested in receiving the Covid 19 vaccine at this time

Other (please specify)

Yes