As your partners in public health, the Immunization Program is committed, alongside you, to ensure that safe and viable vaccines are available to children and adults. Please complete this survey so that we can better assist you during this time.

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* 1. Name of your office, clinic, or practice

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* 2. What is your practice's PhilaVax PIN? (ex. PU0001)

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* 3. What is the name of the person completing the survey?

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* 4. What is your role at the practice?

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* 5. What is your phone number?

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* 6. What is your email address?

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* 7. How are you reviewing your VFC refrigerator and freezer temperatures?

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