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* 2. What is your gender?

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* 3. What is your age group?

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* 4. What is your race?

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* 5. What is your ethnicity?

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* 6. Are you planning on getting vaccinated for COVID-19?

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* 7. If you answered No or Undecided, why not?

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* 8. If you have been vaccinated or are planning on getting vaccinated, what led you to that decision?

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* 9. What is your primary source of information for the COVID-19 vaccine?

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* 10. Who do you trust in your community to give you advice or guidance about COVID-19 vaccination?

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* 11. Are you supportive of vaccines in general?

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* 12. If you have children, will you have them vaccinated for COVID-19?

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* 13. Is there any information you need to know more about which you feel will help you be more confident about getting the vaccine? Getting your children vaccinated?

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* 14. Additional Comments:

0 of 14 answered
 

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