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Injections and Shots Surveys
1.
Do you have to take a regular injection or shot?
Yes
No
Other (please specify)
2.
If you do take a regular shot or injection, what is the frequency?
Weekly
Monthly
Every Two Months
Not Applicable
Other (please specify)
3.
Shots or Injections provided by a health care professional regularly in Gold Bridge would be helpful to you or a family member?
Yes
No
Comment
4.
A little demographic information.....
Full Time Resident
Part Time Resident (weekends, holidays, periods of time)
Here for work seasonally
Other (please specify)
5.
Is there anything else you would like to say?
Current Progress,
0 of 5 answered