This survey is intended for New Mexicans between the ages of 18 and 24. The information you provide is intended for program evaluation and improvement at the New Mexico Department of Health. It should only take about 5 minutes to answer. We greatly appreciate your responses. Please submit all responses by July 30, 2021.

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* 1. What is your age?

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* 2. Select all that apply:

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* 3. Gender

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These are the regions of New Mexico as defined by the department of health. Please use this image to answer the following question.

These are the regions of New Mexico as defined by the department of health. Please use this image to answer the following question.

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* 4. What region of the state do you currently live in?

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* 5. What is your vaccination status?

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