As we continue to make operational plans and contingency plans in response to COVID-19, we are attempting to gain a perspective on the rate of vaccination within in our community. A running estimate of the number of people in our community who have received a COVID-19 vaccine will help us make decisions about degrees of services provided. All individual information will be confidential and only response rates of the total population responding will be used in reporting.
 
If you have received at least one dose of any COVID-19 vaccine, please take a moment to complete the short and simple survey below.
 
  1. If you have already indicated you received the vaccine in the survey, we have logged your response. You do not need to take the survey again.
  2. In households with multiple individuals, please have one person complete the survey for the entire household. For example, a wife may complete the survey indicating that there are 2 people in the household and 2 have received the vaccine. There is no need for the husband to also complete the survey.
  3. For households where one individual has already reported vaccination on the survey, please complete the survey again and only include the number of additional individuals vaccinated.
  4. If you have only received one of two vaccine doses, please indicate that you have received the vaccine. We will make the assumption that anyone receiving the first dose will complete the process and receive the second dose as well.

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* 1. Are you a resident of Savannah Lakes Village?

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* 2. First Name

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* 3. Last Name

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* 4. How many people over the age of 18 live in your household?

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* 5. How many people in your household have received a vaccine for COVID-19?

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