Human Relations Commission Survey

We would like to thank you for taking part in this survey which contains questions concerning the COVID-19 vaccine. This survey will help the Human Relations Commission of New Bedford understanding any of the residents’ questions and concerns associated with the COVID-19 vaccine and whether they would be willing to get vaccinated themselves. For this purpose, we have prepared a very short survey, which will take you 3-4 minutes to complete. Your opinion has a real impact on how to improve vaccination rates within New Bedford. Thank you very much for time and participation

Question Title

* 1. Are you planning to get the COVID-19 vaccine?

Question Title

* 2. Have you successfully made an appointment to get the vaccine?

Question Title

* 3. If unsuccessful, why? Check all that apply.

Question Title

* 4. If you are not willing to get the vaccine, please check all the reasons that apply to you.

Question Title

* 5. Are you going to have the children in your care vaccinated?

Question Title

* 6. Where do you get your information about COVID?  Check all that apply.

Question Title

* 7. If you would like to be placed on a waiting list to receive the vaccine, please leave your name, phone number, and email address below

T