1.Are you providing the COVID-19 Vaccine for kids at your practice? 

Yes to 12-17

Yes to 5-11

Yes to both

No

2.Does your practice participate in Vaccines for Kids?

Yes

No

Unsure

3.What is your practice setting?

4.If you are not providing the COVID-19 Vaccine for kids, what factors impacted your decision?

5.What aspects of the vaccine rollout for 5-11 year olds have gone well from your perspective?

6.What challenges (time, staffing, reimbursement, parental refusal, insufficient vaccine supply or delays in receiving supply, storage, parent or provider educational materials, etc…) have you or your practice faced in providing the COVID-19 vaccine for kids?

7.What feedback do you have on how the State or Federal Government could improve the process?

8.Are you willing to share your contact information so we can follow up with you as necessary?