NKFM COVID-19 Vaccine Survey

Thank you for taking part in this survey. Your responses will help us understand your thoughts, experiences, and concerns in relation to COVID-19. All of your responses are voluntary. To help protect your confidentiality, this survey will not contain information that will personally identify you. We are extremely grateful for you contributing your valuable time and your honest information. The information you have shared with us will not be sold. We will combine your responses with others into one report that can be found at www.reachhealthmi.org

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* 1. What Zipcode do you live in?

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* 2. What is your age group?

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* 3. Are you Hispanic, Latinx/a/o, or of Spanish Origin?

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* 4. Which of the following best describes your race? (check all that apply)

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